Organization
PHYSICIANS OPTICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY W ANDERSON (PRESIDENT)
(219) 836-4619
Entity
Organization
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-1215
(219) 836-7545
Mailing address
10212 CHERRYWOOD LN, MUNSTER, IN 46321-5126
(219) 836-4619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0111534402
IN
Other
Enumeration date
01/19/2007
Last updated
05/03/2011
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