Organization
EYEGLASS EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRIS ROBERT SCHRAGE (PRESIDENT)
(574) 271-7228
Entity
Organization
Contact information
Practice address
5415 N MAIN ST, MISHAWAKA, IN 46545
(574) 271-7228
Mailing address
5415 N MAIN ST, MISHAWAKA, IN 46545
(574) 271-7228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003372A
IN
152W00000X
Optometrist
18003372B
IN
Other
Enumeration date
09/01/2005
Last updated
10/18/2007
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