Organization
BRINEGAR EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI J. BRINEGAR (OFFICE MANAGER)
(812) 339-7995
Entity
Organization
Contact information
Practice address
4001 E 3RD ST STE 8, BLOOMINGTON, IN 47401-5508
(812) 339-7995
(812) 339-7841
Mailing address
4001 E 3RD ST STE 8, BLOOMINGTON, IN 47401-5508
(812) 339-7995
(812) 339-7841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002852
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334253
ANTHEM BCBS
IN
01
—
0005501569
AETNA
IN
01
—
014498
SIHO
IN
05
—
100362860B
—
IN
01
—
N265233
HARMONY HEALTH PLAN
IN
Enumeration date
07/29/2006
Last updated
07/21/2009
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