Organization
THE SPECTACLE SHOPPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON PATRICK RICH O.D. (SECRETARY)
(574) 269-5258
Entity
Organization
Contact information
Practice address
2314 DUBOIS DR, WARSAW, IN 46580-3213
(574) 269-5258
Mailing address
2314 DUBOIS DR, WARSAW, IN 46580-3213
(574) 269-5258
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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