| Organization Name: | SUGAR CREEK EYECARE, P.C. |
| NPI Number: | 1144499013 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA K GILES (ACCOUNTS MANAGER) |
| Mailing Address: | 109 E Main St Crawfordsville |
| State: | IN US |
| Postal Code: | 479331710 |
| Phone Number: | 7653622706 |
| Fax Number: | 7653622985 |
| NPI Enumeration Date: | 02/26/2008 |
| NPI Last Update Date: | 02/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 18002838A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |