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Contact Information

DR TAVEL OF EVANSVILLE, LLC
139 BURKHARDT ROAD
EVANSVILLE, IN47715
 Phone: 812-473-3730
 Fax: 317-924-3741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR TAVEL OF EVANSVILLE, LLC

NPI # 1205825700
LBN Legal business name DR TAVEL OF EVANSVILLE, LLC
Authorized official LARRY TAVEL - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/18/2005
Last updated 06/17/2008 - About 18 years ago
Identifiers
IN License # 18003203
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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