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Organization

KEITEL EYE CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARIN W KEITEL O.D. (PRESIDENT)
(812) 838-5526
Entity
Organization

Contact information

Practice address
1900 W 4TH ST, MOUNT VERNON, IN 47620-9407
(812) 838-5526
(812) 838-6757
Mailing address
1900 W 4TH ST, MOUNT VERNON, IN 47620-9407
(812) 838-5526
(812) 838-6757

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002587B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100210210A
IN
Enumeration date
03/31/2008
Last updated
01/11/2012
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