Organization
INDIANA EYE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SCHLARB (OFFICE MANAGER)
(317) 881-3937
Entity
Organization
Contact information
Practice address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
(317) 887-4008
Mailing address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
(317) 887-4008
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214765
BCBS
IN
01
—
0007517313
AETNA
IN
05
—
100153390
—
IN
01
—
154018
COLE VISION
IN
01
—
CJ6653
CJ6653
IN
Enumeration date
10/06/2005
Last updated
02/01/2010
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