NPI 1205204377
Southside Center for Sight
Practice location
- Address
- 701 E County Line Road Suite 202, Greenwood, IN 46143-1071
- Phone
- (317) 215-2833
- Fax
- (317) 215-2838
Authorised official
- Name
- Christopher Bauer Pesavento
- Title
- Owner
- Phone
- (317) 215-2833
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1205204377
- Entity type
- Organization
- NPI issued
- 8 Sep 2015
- Record last updated
- 31 Mar 2016
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.