MEDICARE: DR GARCIA AND ASSOCIATES, PC

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
1	152W00000X	Optometrist	18002420	IN

General Provider Information

NPI Number	:	1881892206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR GARCIA AND ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	6501 GRAPE RD
Second Line	:	SUITE 178
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1007
Country	:	US
Telephone Number	:	574-243-2384
Fax Number	:

Provider Business Practice Location Address
First Line	:	6501 GRAPE RD
Second Line	:	SUITE 178
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1007
Country	:	US
Telephone Number	:	574-243-2384
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DEBRA JACOBS GARCIA
Credential	:	OD
Telephone Number	:	574-243-2384

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	07/26/2016

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