Organization
PREVMED OPTOMETRY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA JACKSON (VP OF FINANACE)
(317) 522-2054
Entity
Organization
Contact information
Practice address
2011 FLAGLER AVE, KEY WEST, FL 33040-3732
(317) 522-2054
(855) 671-4102
Mailing address
1499 WINDHORST WAY STE 120, GREENWOOD, IN 46143-8800
(317) 522-2054
(855) 671-4102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
08/07/2017
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