Organization
CRS OPTICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON RICK SHOULTZ O.D. (DOCTOR)
(812) 354-9400
Entity
Organization
Contact information
Practice address
715 S 9TH ST, PETERSBURG, IN 47567-1820
(812) 354-9400
(812) 354-2627
Mailing address
715 S 9TH ST, PETERSBURG, IN 47567-1820
(812) 354-9400
(812) 354-2627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003125A
IN
Other
Enumeration date
06/28/2012
Last updated
07/23/2012
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