Provider Demographics
NPI:1104267269
Name:BRIGHT FAMILY EYE CARE LLC
Entity type:Organization
Organization Name:BRIGHT FAMILY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER LLC
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-637-1300
Mailing Address - Street 1:107 N. STATE ST.
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:IN
Mailing Address - Zip Code:47060
Mailing Address - Country:US
Mailing Address - Phone:812-637-1300
Mailing Address - Fax:812-637-1222
Practice Address - Street 1:107 N. STATE ST.
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:IN
Practice Address - Zip Code:47060
Practice Address - Country:US
Practice Address - Phone:812-637-1300
Practice Address - Fax:812-637-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003378B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty