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Contact Information

MYEYEDR OPTOMETRY OF INDIANA, LLC
101 W KIRKWOOD AVE
BLOOMINGTON, IN47404
 Phone: 812-331-9082
 Fax: 812-331-1301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MYEYEDR OPTOMETRY OF INDIANA LLC · (Female)

NPI Number 1194211581
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2018
Last updated 05/27/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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