Individual
DR. JON STEVEN DOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1204 N LINCOLN ST, GREENSBURG, IN 47240-1251
(812) 663-7015
(812) 663-7136
Mailing address
1204 N LINCOLN ST, GREENSBURG, IN 47240-1251
(812) 663-7015
(812) 663-7136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001913B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0481850001
DMERC
IN
05
—
100098540
—
IN
Enumeration date
12/20/2006
Last updated
12/26/2010
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