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Contact Information

MYEYEDR OPTOMETRY OF INDIANA, LLC
2901 S MCINTIRE DR
BLOOMINGTON, IN47403
 Phone: 812-332-1401
 Fax: 812-332-3062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MYEYEDR OPTOMETRY OF INDIANA, LLC

NPI Number 1548756935
LBN Legal business name MYEYEDR OPTOMETRY OF INDIANA, LLC
Authorized official SUE DOWNS - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2018
Last updated 05/27/2022 - About 4 years ago
Identifiers n/a
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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