Organization
EYECARE INDIANA II, PC
Active
Other names
C&B OPTICAL ONE
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI PESCHKE (COO)
(574) 291-9200
Entity
Organization
Contact information
Practice address
4121 S MICHIGAN ST, SOUTH BEND, IN 46614-2545
(574) 291-9200
(574) 299-4423
Mailing address
4121 S MICHIGAN ST, SOUTH BEND, IN 46614-2545
(574) 291-9200
(574) 299-4423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
11/16/2012
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