Organization
ROGER'S WABASH OPTICAL, LLC
Active
Other names
Wabash Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER KEITH WYATT (PRESIDENT)
(812) 945-0440
Entity
Organization
Contact information
Practice address
612 STATE ST, NEW ALBANY, IN 47150-4734
(812) 945-0440
(812) 948-2020
Mailing address
612 STATE ST, NEW ALBANY, IN 47150-4734
(812) 945-0440
(812) 948-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/28/2005
Last updated
08/22/2020
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