Organization
GLASSHOUSE OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA HAUSZ (PRACTICE ADMINISTRATOR)
(317) 881-3937
Entity
Organization
Contact information
Practice address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
(317) 887-4008
Mailing address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
(317) 887-4008
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0200012576570
IN
Other
Enumeration date
08/29/2005
Last updated
03/16/2016
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