Organization
SOUTHSIDE EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORILEE KROHNE (OPTICIAN)
(317) 782-8985
Entity
Organization
Contact information
Practice address
6423 S EAST ST, INDIANAPOLIS, IN 46227-2100
(317) 782-8985
Mailing address
6423 S EAST ST, INDIANAPOLIS, IN 46227-2100
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
01033557A
—
Other
Enumeration date
02/07/2007
Last updated
09/09/2008
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