Individual
AMANDA JEANETTE GOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1160 W. MICHIGAN STREET, INDIANAPOLIS, IN 46202-5209
(317) 944-2020
Mailing address
250 N SHADELAND AVE STE 130, INDIANAPOLIS, IN 46219-4959
(317) 962-4792
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003500
IN
152W00000X
Optometrist
Primary
18003500A
IN
Other
Enumeration date
06/20/2008
Last updated
01/19/2021
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