Organization
THE EYE GROUP OF SOUTHERN INDIANA, LLC
Active
Other names
Envision Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R PENLAND M.D. (PHYSICIAN/OWNER)
(812) 422-6977
Entity
Organization
Contact information
Practice address
1020 W BUENA VISTA RD, EVANSVILLE, IN 47710-5150
(812) 422-6977
(812) 426-7026
Mailing address
1020 W BUENA VISTA RD, EVANSVILLE, IN 47710-5150
(812) 422-6977
(812) 426-7026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0332340001
DMERC
IN
Enumeration date
09/26/2006
Last updated
06/15/2015
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