Organization
GLANCE OPTIQUE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENORE TRACEY (CO-PRES)
(574) 271-1000
Entity
Organization
Contact information
Practice address
7220 HERITAGE SQUARE DR, SUITE 560, GRANGER, IN 46530-5645
(574) 271-1000
(574) 271-9130
Mailing address
7220 HERITAGE SQUARE DR, SUITE 560, GRANGER, IN 46530-5645
(574) 271-1000
(574) 271-9130
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0111574072
IN
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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