Organization
THE EYE GROUP OF SOUTHERN INDIANA, LLC
Active
Organization
THE EYE GROUP OF SOUTHERN INDIANA, LLC
Active
Other names
Envision Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R PENLAND M.D. (PHYSICIAN/OWNER)
(812) 422-6977
Entity
Organization
Contact information
Practice address
1449 KIMBER LN, SUITE 102A, EVANSVILLE, IN 47715-4067
(812) 422-6977
(812) 426-7026
Mailing address
1020 W BUENA VISTA RD, EVANSVILLE, IN 47710-5150
(812) 422-6977
(812) 426-7026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0332340003
DMERC
IN
Enumeration date
09/16/2006
Last updated
06/15/2015
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