Organization
NEWBURGH EYE CARE, P.C.
Active
Organization
NEWBURGH EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A GILLES O.D. (OPTOMETRIST)
(812) 853-8191
Entity
Organization
Contact information
Practice address
8688 RUFFIAN LN, SUITE B, NEWBURGH, IN 47630-3411
(812) 853-8191
Mailing address
8688 RUFFIAN LN, SUITE B, NEWBURGH, IN 47630-3411
(812) 853-8191
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
18002239
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089373
ANTHEM BCBS
IN
01
—
GI161240
CLARITY VISION
IN
Enumeration date
07/02/2008
Last updated
07/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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