Organization
OWENS OPTOMETRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE OWENS O.D. (PRESIDENT)
(765) 939-2000
Entity
Organization
Contact information
Practice address
1120 S 9TH ST, RICHMOND, IN 47374-6240
(765) 939-2000
(765) 939-0271
Mailing address
1120 S 9TH ST, RICHMOND, IN 47374-6240
(765) 939-2000
(765) 939-0271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075410B
—
IN
01
—
410045448
RAILROAD MEDICARE
IN
Enumeration date
12/21/2007
Last updated
07/01/2010
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