Individual
MR. JAMES LYNN MYERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1789 E BRISTOL ST, SUITE C, ELKHART, IN 46514-6607
(574) 262-3631
(574) 266-9186
Mailing address
1789 E BRISTOL ST, SUITE C, ELKHART, IN 46514-6607
(574) 262-3631
(574) 266-9186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
180012689B
IN
152W00000X
Optometrist
Primary
IN18001630B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325330
—
IN
01
—
IN1630
EYEMED VISION CARE
IN
Enumeration date
01/23/2007
Last updated
09/28/2015
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