NPI 1033379987

Cory Eyecare Ptr

Organisation Eyewear Supplier Portage, IN

Practice location

Address: 6509 Central Ave, Portage, IN 46368-3101
Phone: (219) 762-4801
Fax: (219) 764-9974

Authorised official

Name: Kim P Cory
Title: Owner
Phone: (219) 762-4801

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Indiana →

Registry record

NPI: 1033379987
Entity type: Organization
NPI issued: 13 Jun 2008
Record last updated: 14 Jan 2009

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.