Organization
ODON OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C DAVID WINTERGERST O.D. (PRESIDENT)
(812) 636-8030
Entity
Organization
Contact information
Practice address
101 E ELNORA ST, ODON, IN 47562-1125
(812) 636-8030
(812) 636-4898
Mailing address
101 E ELNORA ST, ODON, IN 47562-1125
(812) 636-8030
(812) 636-4898
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18002037
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251500A
—
IN
Enumeration date
01/11/2007
Last updated
04/17/2014
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