Organization
EYE ASSOCIATES OF SOUTHERN INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA BOMAN (INS SUPERVISOR)
(812) 590-6157
Entity
Organization
Contact information
Practice address
441 GREEN RD, MADISON, IN 47250-2645
(812) 273-2020
(812) 273-4022
Mailing address
441 GREEN RD, MADISON, IN 47250-2645
(812) 273-2020
(812) 273-4022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001510
IN
152W00000X
Optometrist
Primary
18001637
IN
152W00000X
Optometrist
18001655
IN
Other
Enumeration date
11/17/2006
Last updated
10/21/2015
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