Individual
DAMON S. DIERKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9202 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-1810
(317) 841-2020
(317) 570-7433
Mailing address
9202 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46260-1810
(317) 841-2020
(317) 570-7433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003170A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200403000
—
IN
Enumeration date
06/10/2006
Last updated
07/02/2024
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