Organization
REVOLUTIONEYES 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY DRAHEIM (PRACTICE MANAGER)
(317) 790-2015
Entity
Organization
Contact information
Practice address
11464 LAKERIDGE DR, FISHERS, IN 46037-7607
(317) 790-2015
(317) 708-7324
Mailing address
11464 LAKERIDGE DR, FISHERS, IN 46037-7607
(317) 790-2015
(317) 708-7324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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