Organization · NPI-2

20/20 Eye Physicians Of Indiana, PC

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

NPI number1780789909
StatusActive
Last updated in NPPESMar 31, 2021

Details

NPI
1780789909
Entity type
Organization (NPI-2)
Legal business name
20/20 Eye Physicians Of Indiana, PC
Organization subpart
Yes
Enumeration date
Sep 13, 2006
Certification date
Mar 31, 2021
Last updated
Mar 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)0003928578INYes

Other names

  • 20/20 Physicians Optical (Other Name)

Practice location

4880 Century Plaza Rd
Suite 140
Indianapolis, IN 46254-5469

Phone 317-328-0901 · Fax 317-328-5038

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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