Organization
DR. JOHN D. MCKENNA, OPTOMETRIST, LLC
Active
Other names
McKenna Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID MCKENNA II O.D. (MANAGING MEMBER)
(317) 899-1017
Entity
Organization
Contact information
Practice address
1511 N POST RD, INDIANAPOLIS, IN 46219-4247
(317) 899-1017
(317) 899-1660
Mailing address
1511 N POST RD, INDIANAPOLIS, IN 46219-4247
(317) 899-1017
(317) 899-1660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003120B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104825900
—
IN
01
—
220830
MEDICARE ID- TYPE UNSPECIFIED
IN
Enumeration date
06/24/2014
Last updated
06/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us