# PREVMED, INC

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

## Provider details

- **NPI number:** 1932574142
- **Authorized official:** CLAUDIA JACKSON (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (317) 522-2054

## Contact information

- **Practice address:** 1499 WINDHORST WAY STE 100, GREENWOOD, IN 46143-8800
- **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 | — | — | — |
| 156FX1800X | Optician | — | — | — |
| 231H00000X | Audiologist | — | — | Yes |
| 237700000X | Hearing Instrument Specialist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 11/03/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016730200 | — | FL |
| 05 | — | 201373290 | — | IN |
| 05 | — | 201376870 | — | IN |