Organization
OASB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D MORLAN OD (OWNER)
(574) 289-3937
Entity
Organization
Contact information
Practice address
220 N IRONWOOD DR, SOUTH BEND, IN 46615-2518
(574) 289-3937
(574) 280-7355
Mailing address
220 N IRONWOOD DR, SOUTH BEND, IN 46615-2518
(574) 289-3937
(574) 280-7355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003001A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000637898
ANTHEM
IN
05
—
200238080A
—
IN
Enumeration date
05/20/2009
Last updated
12/09/2009
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