Organization
MITCHELL OPTICAL CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL WOOD PRESIDENT (OWNER)
(812) 849-4385
Entity
Organization
Contact information
Practice address
527 W MAIN ST, MITCHELL, IN 47446-1410
(812) 849-4385
(812) 849-0078
Mailing address
PO BOX 55, MITCHELL, IN 47446-0055
(812) 849-4385
(812) 849-0078
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184190
—
IN
Enumeration date
10/16/2006
Last updated
03/02/2010
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