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Andrea Risley, OD

Optometrist in Indianapolis, IN. Individual provider (NPI-1).

NPI number1982126033
StatusActive
Last updated in NPPESJul 11, 2017

Details

NPI
1982126033
Entity type
Individual (NPI-1)
Name
Andrea Risley
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2017
Last updated
Jul 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist18004047INYes

Practice location

105 S Raceway Rd
Indianapolis, IN 46231-1414

Phone 317-273-8474

Mailing address

9795 Crosspoint Blvd Ste 100
Indianapolis, IN 46256-3348

Phone 317-254-6480

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