RENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION, INC.

Optometrist

Active Organization
NPI: 1174740682

Practice Address

201 W WAYNE ST
Lagrange, IN 46761

Phone: (260) 463-3421

Specialties

Specialty Code Primary License
Eyewear Supplier 332H00000X No 18002670A/B (IN)
Optometrist 152W00000X Yes 18002670A/B (IN)

Frequently Asked Questions

NPI 1174740682 is the National Provider Identifier for RENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION, INC., a Optometrist provider located in Lagrange, IN. This NPI was enumerated on April 19, 2007.

Quick Facts

NPI
1174740682
Type
Organization
Enumerated
Apr 19, 2007
Last Updated
Feb 27, 2010

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