Organization
EYECARE ASSOCIATES OF MICHIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM L MORTON OD (PARTNER/OD)
(574) 287-0890
Entity
Organization
Contact information
Practice address
17477 GENERATIONS DR, SOUTH BEND, IN 46635-1584
(574) 287-0890
(574) 287-0899
Mailing address
17477 GENERATIONS DRIVE, SOUTH BEND, IN 46635
(574) 287-0890
(574) 287-0899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001874
IN
152W00000X
Optometrist
18002128
IN
152W00000X
Optometrist
Primary
18002590
IN
Other
Enumeration date
06/21/2006
Last updated
08/22/2020
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