Individual
DR. JENNIFER LEE CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
3733 BROADWAY, GARY, IN 46409-1501
(317) 254-6480
Mailing address
5455 HARRISON PARK LN, INDIANAPOLIS, IN 46216-2245
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003577
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200951300
—
IN
Enumeration date
07/27/2009
Last updated
08/22/2012
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