Organization
MATTINGLY CENTER FOR SIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P MATTINGLY M.D. (OWNER)
(765) 423-2977
Entity
Organization
Contact information
Practice address
1410 UNION ST, LAFAYETTE, IN 47904-2060
(765) 423-2977
(765) 423-1149
Mailing address
1410 UNION ST, LAFAYETTE, IN 47904-2060
(765) 423-2977
(765) 423-1149
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01026310
IN
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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