Organization
JAMES L MYERS II O.D. P.C.
Active
Other names
Scott Optical/ Eye Care associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L. MYERS II O.D. (PRESIDENT)
(574) 262-3631
Entity
Organization
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
—
100232810
—
IN
01
—
2623631
VSP
IN
01
—
E7JT0000
MEDICARE GROUP
IN
Enumeration date
09/21/2006
Last updated
09/28/2015
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