NPI 1720392020

Craig Michael Lichlyter, 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 18003657A (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1720392020
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2010
Record last updated: 27 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.