Organization
FAMILY EYE CLINIC, P.C.
Active
Other names
Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A. DEGROFF O.D. (PRESIDENT)
(260) 589-3197
Entity
Organization
Contact information
Practice address
150 FOREST PARK DR, BERNE, IN 46711-1745
(260) 589-3197
(260) 589-2911
Mailing address
150 FOREST PARK DRIVE, P.O. BOX 30, BERNE, IN 46711-0030
(260) 589-3197
(260) 589-2911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002194B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410049706
RR MEDICARE
IN
Enumeration date
11/22/2005
Last updated
02/12/2009
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