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NPI Code Detail

MEDICARE: BRIGHT VIEW VISION CARE LLC

MEDICARE: BRIGHT VIEW VISION CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1598538134
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT VIEW VISION CARE LLC
Provider Business Mailing Address
First Line : 1718 BRIAM CIRCLE DR
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-1157
Country : US
Telephone Number : 219-871-9665
Fax Number :
Provider Business Practice Location Address
First Line : 5780 FRANKLIN ST
Second Line :
City : MICHIGAN CITY
State : IN
Zip : 46360-7844
Country : US
Telephone Number : 219-879-4390
Fax Number :
Authorized Official
Title or Position : OWNER/OD
Name : KIMBERLY ESPOSITO
Credential : OD
Telephone Number : 219-871-9665
Provider Enumeration Date : 11/06/2023
Last Update Date : 11/20/2023

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Directions to “BRIGHT VIEW VISION CARE LLC ” Practice Location

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