Organization
EYECARE ASSOCIATES OF MICHIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM L MORTON OD (PARTNER/OD)
(574) 654-8806
Entity
Organization
Contact information
Practice address
8984 E US HIGHWAY 20, NEW CARLISLE, IN 46552-9038
(574) 654-8806
(574) 654-7257
Mailing address
8984 E US HIGHWAY 20, NEW CARLISLE, IN 46552-9038
(574) 654-8806
(574) 654-7257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001874
IN
152W00000X
Optometrist
Primary
18002128
IN
152W00000X
Optometrist
18002590
IN
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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