Provider Demographics
NPI:1558920439
Name:NORMAN EYECARE LTD.
Entity Type:Organization
Organization Name:NORMAN EYECARE LTD.
Other - Org Name:NORMAN & MILLER EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-564-2800
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:DELPHI
Mailing Address - State:IN
Mailing Address - Zip Code:46923-0275
Mailing Address - Country:US
Mailing Address - Phone:765-564-2800
Mailing Address - Fax:765-564-2477
Practice Address - Street 1:117 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-2521
Practice Address - Country:US
Practice Address - Phone:765-484-8182
Practice Address - Fax:765-564-2477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty