| Southern Indiana Eye Care, Llc | |
|
488 W Hospital Rd, Paoli, IN 47454-8807 | |
| (812) 723-4752 | |
| (812) 723-4753 |
| Full Name | Southern Indiana Eye Care, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 488 W Hospital Rd, Paoli, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720475965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003673A (Indiana) | Primary |
| Provider Name | Ryan K Petty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174591960 PECOS PAC ID: 5597944231 Enrollment ID: I20110126000898 |
| Provider Name | Robert David Cole |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407142441 PECOS PAC ID: 2466622840 Enrollment ID: I20110822000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Eye Care, Llc 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4752 | Southern Indiana Eye Care, Llc 488 W Hospital Rd, Paoli, IN 47454-8807 Ph: (812) 723-4752 |
Dr. Eric Marshall Harmon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-4752 Fax: 812-723-4753 | |
Dr. Ryan Kyle Petty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-4752 Fax: 812-723-4753 | |
Dr. Robert David Cole Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 488 W Hospital Rd, Suite 1, Paoli, IN 47454 Phone: 812-723-4752 Fax: 812-723-4753 |