Organization
EYE ASSOCIATES OF SOUTHERN INDIANA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY C BLACK M.D (OWNER)
(812) 284-0660
Entity
Organization
Contact information
Practice address
1102 LYNDON LN, SUITE A, LOUISVILLE, KY 40222-4318
(502) 426-0307
(812) 284-3822
Mailing address
302 W 14TH ST., SUITE 100A, JEFFERSONVILLE, IN 47130
(812) 284-0660
(812) 284-3822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
04/01/2014
Update your record
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