NPI 1467585885

Boling Vision Center, LLC

Organisation Eyewear Supplier Goshen, IN

Practice location

Address: 1615 Winsted Dr, Goshen, IN 46526-4696
Phone: (574) 533-9633
Fax: (574) 533-9314
Mailing address: 2746 Old US 20 W, Elkhart, IN 46514-1364

Authorised official

Name: Richard Clayton Boling
Title: Owner
Phone: (574) 293-3545

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

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Registry record

NPI: 1467585885
Entity type: Organization
NPI issued: 14 Mar 2007
Record last updated: 11 Feb 2008

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.