NPI 1083970214

Eyecare Indiana Ll, PC

Organisation Optometrist Kokomo, IN

Practice location

Address: 1919 E. Markland Ave, Kokomo, IN 46901-6237
Phone: (765) 459-8182
Fax: (765) 459-5550
Mailing address: 4121 S. Michigan Street, South Bend, IN 46614-2545

Authorised official

Name: Terri Peschke
Title: C.O.O.
Phone: (574) 291-9200

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Indiana →

Registry record

NPI: 1083970214
Entity type: Organization
NPI issued: 2 Apr 2012
Record last updated: 2 Apr 2012

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.