Organization
OSSIP OPTOMETRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA MILLER (CREDENTIALING COORDINATOR)
(317) 254-6480
Entity
Organization
Contact information
Practice address
7255 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 842-3937
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001899
IN
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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