Organization
INSIGHTS OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE ELAINE SHORT O.D. (OWNER)
(812) 333-1911
Entity
Organization
Contact information
Practice address
415 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5517
(812) 333-1911
Mailing address
415 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5517
(812) 333-1911
(812) 333-1602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200892090
—
IN
01
—
DO6083
RR MEDICARE
IN
Enumeration date
03/20/2007
Last updated
04/02/2018
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