Organization
DR.H.HUBBARD AND ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HURST HUBBARD O.D. (PRESIDENT)
(317) 293-9314
Entity
Organization
Contact information
Practice address
4020 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2506
(317) 293-9314
Mailing address
4020 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2506
(317) 293-9314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56000242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349550 A
—
IN
Enumeration date
08/05/2006
Last updated
09/09/2014
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