Organization · NPI-2

20/20 Eye Physicians Of Indiana, PC

Eyewear Supplier (Equipment, not the service) · Indianapolis, IN

NPI number1538185673
StatusActive
Last updated in NPPESMar 31, 2021

Details

NPI
1538185673
Entity type
Organization (NPI-2)
Legal business name
20/20 Eye Physicians Of Indiana, PC
Organization subpart
Yes
Enumeration date
Jul 14, 2006
Certification date
Mar 31, 2021
Last updated
Mar 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)9900001987283INYes
207W00000X Ophthalmology––

Other names

  • 20/20 Physicians Optical (Other Name)

Practice location

2020 W 86th St
Suite 200
Indianapolis, IN 46260-1969

Phone 317-871-5900 · Fax 317-872-6439

Mailing address

2020 W 86th St
Suite 200
Indianapolis, IN 46260-1969

Phone 317-871-5900 · Fax 317-872-6439

Authorized official

Donna M Ireland
Practice Manager
3178715900

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