Mitchell Eyewear LLC
Organization Active NPI Optometrist · Mitchell, IN
NPI 1366539835 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1366539835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 18002881 (IN)
- Legal business name
- MITCHELL EYEWEAR LLC
- Practice address
- 527 W Main St
Mitchell, IN 47446-1410 - Phone
- (812) 849-4385
- Fax
- (812) 849-0078
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Vonda L Heverly, O.D.
- Title
- President
- Phone
- (812) 849-4385
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 18002881 | IN | Yes |
Addresses
Primary practice location
527 W Main St
Mitchell, IN 47446-1410
Mailing address
527 W Main St
Mitchell, IN 47446-1410
Phone (812) 849-4385
Other providers in Mitchell, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.