NPI 1336451640

Elizabeth Jane Roush, OD

Practitioner Optometrist Kendallville, IN

Practice location

Address: 781 E North St, Kendallville, IN 46755-1225
Phone: (260) 347-3458
Fax: (260) 347-4425

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003647A (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1336451640
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2010
Record last updated: 26 Aug 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.