Individual
DR. CHARLES JOSEPH STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7840 E 96TH ST, FISHERS, IN 46037-9629
(317) 595-9999
(317) 595-0671
Mailing address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003681A
IN
152W00000X
Optometrist
18003681B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027900
—
IN
Enumeration date
07/06/2011
Last updated
06/30/2014
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