Whalio Doctors

NPI 1003805185

City Optical Co., INC.

Organisation Optometrist Bloomington, IN

Practice location

Address
2552 E 3rd St, Bloomington, IN 47401-5338
Phone
(812) 332-3432
Fax
(317) 924-3741
Mailing address
2839 Lafayette Rd, Indianapolis, IN 46222-2147

Authorised official

Name
Larry S Tavel
Title
President
Phone
(317) 924-1300

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 18001836 (IN)

Registry record

NPI
1003805185
Entity type
Organization
NPI issued
20 Oct 2005
Record last updated
27 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.