Organization
EYE ASSOCIATES GROUP, LLC
Active
Other names
Low Vision Centers of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY A. TEAGLE (ACCOUNTS MANAGER)
(765) 348-2020
Entity
Organization
Contact information
Practice address
315 HUGGINS DR, HARTFORD CITY, IN 47348-8999
(765) 348-2020
(765) 348-2503
Mailing address
PO BOX 166, HARTFORD CITY, IN 47348-0166
(765) 348-2020
(765) 348-2503
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005400
—
IN
01
—
CA7728
RRMC
IN
Enumeration date
01/23/2007
Last updated
11/19/2010
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