Organization
SPORTS VISION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ELAINE JUDSON OD (OWNER)
(812) 232-1000
Entity
Organization
Contact information
Practice address
643 OHIO ST, TERRE HAUTE, IN 47807-3525
(812) 232-1000
(812) 232-1007
Mailing address
643 OHIO ST, TERRE HAUTE, IN 47807-3525
(812) 232-1000
(812) 232-1007
Taxonomy
Speciality
Code
Description
License number
State
152WS0006X
Sports Vision Optometrist
Primary
18003213A
IN
Other
Enumeration date
11/16/2015
Last updated
09/01/2020
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