Individual
DR. JUDSON FORD AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2902 W 86TH ST STE 160, INDIANAPOLIS, IN 46268-2196
(317) 254-6480
(317) 259-8609
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003539A
IN
152W00000X
Optometrist
5698
OH
Other
Enumeration date
07/12/2007
Last updated
09/09/2014
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