Organization
DR. JEREMY ELMORE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ELMORE O.D. (PRESIDENT)
(317) 908-8548
Entity
Organization
Contact information
Practice address
3719 SOUT EAST STREET, INDIANAPOLIS, IN 46227-1290
(317) 908-8548
Mailing address
1352 ECHO BEND ST, GREENWOOD, IN 46142-1119
(317) 908-8548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003454
IN
152WC0802X
Corneal and Contact Management Optometrist
18003454
IN
152WP0200X
Pediatric Optometrist
18003454
IN
152WS0006X
Sports Vision Optometrist
18003454
IN
152WV0400X
Vision Therapy Optometrist
18003454
IN
152WX0102X
Occupational Vision Optometrist
18003454
IN
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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