Organization
ENVISION EYE CARE LLC
Active
Other names
Envision Eye Care and Eyewear Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA MUMMERT O.D. (MEMBER/PRESIDENT)
(260) 616-0184
Entity
Organization
Contact information
Practice address
14413 ILLINOIS RD, STE. C, FORT WAYNE, IN 46814-9714
(260) 616-0184
(855) 271-9517
Mailing address
14413 ILLINOIS RD, STE. C, FORT WAYNE, IN 46814-9714
(260) 616-0184
(855) 271-9517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003334
IN
Other
Enumeration date
05/20/2011
Last updated
12/02/2013
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