Organization
LISLE FAMILY EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS LISLE O.D. (PRESIDENT)
(812) 346-8500
Entity
Organization
Contact information
Practice address
747 N STATE ST, NORTH VERNON, IN 47265-1044
(812) 346-8500
(812) 352-8308
Mailing address
747 N STATE ST, NORTH VERNON, IN 47265-1044
(812) 346-8500
(812) 352-8308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205593
MARGARET LISLE ANTHEM #
IN
01
—
000000205594
JAMES LISLE ANTHEM #
IN
05
—
200345210
—
IN
05
—
200347550
—
IN
Enumeration date
05/31/2006
Last updated
11/27/2012
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