Organization
SICKBERT FAMILY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE R SICKBERT OD (OWNER)
(765) 932-5553
Entity
Organization
Contact information
Practice address
620 E 11TH ST, RUSHVILLE, IN 46173-1319
(765) 932-5553
(765) 932-1813
Mailing address
620 E 11TH ST, RUSHVILLE, IN 46173-1319
(765) 932-5553
(765) 932-1813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18001939A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215980A
—
IN
Enumeration date
03/15/2007
Last updated
05/27/2010
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