Organization
HOOSIER FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD K DEWAR OD (DOCTOR OF OPTOMETRY)
(812) 876-6899
Entity
Organization
Contact information
Practice address
121 S 3RD ST, ELLETTSVILLE, IN 47429-1507
(812) 876-6899
(812) 876-6809
Mailing address
PO BOX 278, ELLETTSVILLE, IN 47429-0278
(812) 876-6899
(812) 876-6809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001552A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100152640A
—
IN
01
—
791580156
RAILROAD RETIREMENT
IN
Enumeration date
02/01/2008
Last updated
01/23/2015
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