Organization
LOWELL OPTOMETRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA J WHITELEY O.D. (OWNER)
(219) 696-7191
Entity
Organization
Contact information
Practice address
303 E MAIN ST, LOWELL, IN 46356-1711
(219) 696-7191
(219) 696-8551
Mailing address
303 E MAIN ST, LOWELL, IN 46356-1711
(219) 696-7191
(219) 696-8551
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18002511B
IN
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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