Organization
LISLE FAMILY EYE CARE INC
Active
Other names
The Eye Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T LISLE OD (PRESIDENT)
(812) 346-8500
Entity
Organization
Contact information
Practice address
2580 MICHIGAN RD, SUITE 2, MADISON, IN 47250-2491
(812) 265-6222
Mailing address
747 N STATE ST, NORTH VERNON, IN 47265-1044
(812) 346-8500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003353110C
—
IN
Enumeration date
10/09/2014
Last updated
03/26/2015
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