Organization
BARTLETT MINNICH VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI K VIRGIL (BILLING DEPT MANAGER)
(574) 291-9200
Entity
Organization
Contact information
Practice address
332 N MICHIGAN ST, SOUTH BEND, IN 46601-1226
(574) 232-5955
Mailing address
332 N MICHIGAN ST, SOUTH BEND, IN 46601-1226
(574) 232-5955
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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