Organization
VIRTUAL IMAGE EYEWEAR PC
Active
Other names
Lanter EyeCare & Laser Surgery PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL E LANTER M.D. O.D. (PRESEIDENT)
(317) 844-6269
Entity
Organization
Contact information
Practice address
5025 E 82ND ST, STE 2300, INDIANAPOLIS, IN 46250
(317) 844-6269
(317) 815-7567
Mailing address
10610 N PENNSYLVANIA ST, STE B, INDIANAPOLIS, IN 46280-2000
(317) 844-6269
(317) 815-7567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0111609909
IN
332H00000X
Eyewear Supplier
0111609909
IN
Other
Enumeration date
02/22/2007
Last updated
04/18/2012
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