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Contact Information

CROSSTOWN EYECARE LLC
990 S MARION ST
MARTINSVILLE, IN46151-2438
 Phone: 765-342-5497
 Fax: 765-349-1922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CROSSTOWN EYECARE LLC · (Female)

NPI # 1619148145
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2008
Last updated 12/14/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 18001808B
  • IN Medicaid 23091
  • IN Other 4434 DAVIS VISION
  • IN Other IN1808 EYEMED
  • IN Other 02875 SPECTERA
  • IN Other 7653425497 VISION SERVICE PLAN
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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