Organization
INDIANA NEURO-OPHTHALMOLOGY & CENTER FOR BALANCE
Active
Organization
INDIANA NEURO-OPHTHALMOLOGY & CENTER FOR BALANCE
Active
Other names
BalanceMD
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SANDERS MD (PRESIDENT)
(765) 807-7100
Entity
Organization
Contact information
Practice address
3721 ROME DR, SUITE A, LAFAYETTE, IN 47905-4408
(765) 807-7100
(765) 807-7101
Mailing address
3721 ROME DR, SUITE A, LAFAYETTE, IN 47905-4408
(765) 807-7100
(765) 807-7101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01045654
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507081
ANTHEM
IN
01
—
10019219
ENCORE
—
01
—
5776298
AETNA
—
01
—
9239622
CIGNA
—
01
—
DF9084
MEDICARE RR
IN
Enumeration date
12/19/2006
Last updated
10/02/2019
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