# PREVMED OPTOMETRY GROUP, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265883797
- **Authorized official:** CLAUDIA JACKSON (VP OF FINANACE)
- **Authorized official phone:** (317) 522-2054

## Contact information

- **Practice address:** 2011 FLAGLER AVE, KEY WEST, FL 33040-3732
- **Practice address phone:** (317) 522-2054
- **Practice address fax:** (855) 671-4102
- **Mailing address:** 1499 WINDHORST WAY STE 120, GREENWOOD, IN 46143-8800
- **Mailing address phone:** (317) 522-2054
- **Mailing address fax:** (855) 671-4102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 08/07/2017