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Organization

EYECARE EXPRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SHAWNDA B TAYLOR (OPTICIAN/DOC TECH)
(260) 482-2020
Entity
Organization

Contact information

Practice address
700 E COLISEUM BLVD, FORT WAYNE, IN 46805-1220
(260) 482-2020
(260) 482-3333
Mailing address
700 E COLISEUM BLVD, FORT WAYNE, IN 46805-1220
(260) 482-2020
(260) 482-3333

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18003705
IN

Other

Enumeration date
08/22/2017
Last updated
07/21/2022
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