Organization
ADVANCED OPTIX LLC
Active
Other names
21 North Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIANA GROVE O.D. (OWNER)
(773) 663-6882
Entity
Organization
Contact information
Practice address
21 WASHINGTON ST, VALPARAISO, IN 46383-4778
(219) 286-7007
Mailing address
21 WASHINGTON ST, VALPARAISO, IN 46383-4778
(219) 286-7007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003481A
IN
Other
Enumeration date
04/04/2013
Last updated
07/31/2013
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