Individual
DR. CRAIG A FENIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1818 N MAIN ST, RUSHVILLE, IN 46173-9316
(765) 932-4800
(765) 932-2619
Mailing address
1818 N MAIN ST, RUSHVILLE, IN 46173-9316
(765) 932-4800
(765) 932-2619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002225
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087303
ANTHEM BLUE CROSS
IN
01
—
000000103026
ANTHEM BCBS
IN
01
—
0138200001
DME MAC
IN
01
—
100224620A
MDWISE/HOOSIER ALLIANCE
IN
01
—
100224620A
OPTICARE MANAGED VISION
NC
05
—
100224620A
—
IN
01
—
351734899
VISION SERVICE PLAN
IN
01
—
T69269
DME MAC UPIN
IN
Enumeration date
01/20/2006
Last updated
11/16/2023
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