Organization
KREGG KOONS O.D., INC.
Active
Parent organization
KREGG KOONS O.D., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KREGG KOONS O.D., INC.
Authorized official
KREGG C KOONS OD (OWNER)
(765) 289-4727
Entity
Organization
Contact information
Practice address
3300 PURDUE AVE., MUNCIE, IN 47304
(765) 288-1935
Mailing address
3300 W FOX RIDGE LN, MUNCIE, IN 47304-5201
(765) 289-4727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002701
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376600
—
IN
Enumeration date
06/22/2018
Last updated
06/22/2018
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