National Provider Identifier Database

BALOG BREMEN VISION CENTER P C
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

BALOG BREMEN VISION CENTER P C
1425 W PLYMOUTH ST
BREMEN, IN46506-1951
Phone: 574-546-3820
Fax: 574-546-3810
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for BALOG BREMEN VISION CENTER P C

NPI Number 1922104660
Legal business name
LBN
BALOG BREMEN VISION CENTER P C
Authorized official CAROLYN BALOG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/16/2006
Last updated 01/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 18001983A
  • IN Other: DA1502 RAILROAD MEDICARE

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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