Organization
JAMES D. FERGUSON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA SMITH (BILLING MANAGER)
(219) 972-0904
Entity
Organization
Contact information
Practice address
8417 KENNEDY AVE, HIGHLAND, IN 46322-1139
(219) 838-2020
(219) 838-0454
Mailing address
8417 KENNEDY AVE, HIGHLAND, IN 46322-1139
(219) 838-2020
(219) 838-0454
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18002583A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200323790
—
IN
Enumeration date
08/30/2007
Last updated
10/13/2010
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