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Organization
PREVMED, INC
Active
Organization
PREVMED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA JACKSON (VICE PRESIDENT OF FINANCE)
(317) 522-2054
Entity
Organization
Contact information
Practice address
1499 WINDHORST WAY STE 100, GREENWOOD, IN 46143-8800
(317) 522-2054
(855) 671-4102
Mailing address
1499 WINDHORST WAY STE 120, GREENWOOD, IN 46143-8800
(317) 522-2054
(855) 671-4102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
231H00000X
Audiologist
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016730200
—
FL
05
—
201373290
—
IN
05
—
201376870
—
IN
Enumeration date
12/14/2015
Last updated
11/03/2021
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