Organization
EYE ASSOCIATES OF SOUTHERN INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY C BLACK MD (OWNER)
(812) 284-0660
Entity
Organization
Contact information
Practice address
302 W 14TH ST, #100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
Mailing address
302 W 14TH ST, #100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
04/24/2008
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