Christopher Pennington
Technician/Technologist, Optician in Indianapolis, IN. Individual provider (NPI-1).
NPI number1407445786
StatusActive
Last updated in NPPESMar 11, 2026
Details
- NPI
- 1407445786
- Entity type
- Individual (NPI-1)
- Name
- Christopher Pennington
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2021
- Certification date
- Mar 11, 2026
- Last updated
- Mar 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
10338 Kensil StIndianapolis, IN 46236-7402
Phone 463-245-9033
Mailing address
10338 Kensil StIndianapolis, IN 46236-7402
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