Individual
DR. MARCIA J MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
915 W BROWN ST, SEYMOUR, IN 47274-2715
(812) 522-8777
(812) 524-0042
Mailing address
915 W BROWN ST, SEYMOUR, IN 47274-2715
(812) 525-5227
(812) 524-0042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002155B
IN
152WC0802X
Corneal and Contact Management Optometrist
18002155A
IN
152WP0200X
Pediatric Optometrist
18002155B
IN
152WS0006X
Sports Vision Optometrist
18002155A
IN
152WV0400X
Vision Therapy Optometrist
18002155B
IN
152WX0102X
Occupational Vision Optometrist
18002155B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232590
—
IN
01
—
200390280
GROUP MEDICAID NUMBER
IN
Enumeration date
03/19/2007
Last updated
11/08/2019
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