Organization
MICHAEL L. KOMASINSKI
Active
Other names
Eye Associates of Laporte
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L KOMASINSKI O.D. (DOCTOR)
(219) 362-2685
Entity
Organization
Contact information
Practice address
106 LEGACY PLZ W, LA PORTE, IN 46350-5298
(219) 362-2685
(219) 362-5587
Mailing address
106 LEGACY PLZ W, LA PORTE, IN 46350-5298
(219) 362-2685
(219) 362-5587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002319
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445030A
—
IN
Enumeration date
04/18/2007
Last updated
11/09/2012
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