Organization
VISION MART EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROTHEKER (PRESIDENT)
(812) 232-4925
Entity
Organization
Contact information
Practice address
4684 S US HWY 41, TERRE HAUTE, IN 47802-5404
(812) 232-4925
(812) 232-6486
Mailing address
4684 S US HWY 41, TERRE HAUTE, IN 47802-5404
(812) 232-4925
(812) 232-6486
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252630A
—
IN
Enumeration date
11/19/2019
Last updated
11/19/2019
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