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Organization

LAKEVIEW OPTOMETRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE MIKELS OD (PRESIDENT)
(574) 583-5531
Entity
Organization

Contact information

Practice address
506 S COUNTRY LN, MONTICELLO, IN 47960-1875
(574) 583-5531
(574) 583-4285
Mailing address
506 S COUNTRY LN, MONTICELLO, IN 47960-1875
(574) 583-5531
(574) 583-4285

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
10/03/2019
Last updated
11/27/2019
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