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Individual

DR. SCOTT JAMES CAUGHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2250 NORTH POINTE DR, SUITE A, WARSAW, IN 46582-9042
(574) 267-3515
Mailing address
2250 N POINTE DR, WARSAW, IN 46582-9042
(574) 267-3515
(574) 267-3259

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003414A
IN
152WP0200X
Pediatric Optometrist
18003414A
IN
152WV0400X
Vision Therapy Optometrist
18003414A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200859820A
IN
Enumeration date
07/05/2006
Last updated
05/15/2020
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