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Organization

COMMUNITY EYE CARE OF INDIANA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN LATONA M.D. (OWNER)
(317) 594-9410
Entity
Organization

Contact information

Practice address
7250 CLEARVISTA DR, STE 180, INDIANAPOLIS, IN 46256-4692
(317) 594-9410
(317) 357-5383
Mailing address
1400 N RITTER AVE, STE 281, INDIANAPOLIS, IN 46219-3052
(317) 357-8663
(317) 357-5383

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003340A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200275230A
IN
05
200275230B
IN
01
DC5434
MEDICARE ID
IN
Enumeration date
11/07/2006
Last updated
01/12/2010
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