Organization
MARCIA J. MONROE,O.D.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA J. MONROE,O.D.,INC O.D. (PRESIDENT)
(812) 522-8777
Entity
Organization
Contact information
Practice address
915 W BROWN ST, SEYMOUR, IN 47274-2715
(812) 522-8777
(812) 524-0042
Mailing address
915 W BROWN ST, SEYMOUR, IN 47274-2715
(812) 522-8777
(812) 524-0042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002155B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193260A
MEDICARE
IN
05
—
200390280A
—
IN
01
—
HO9075
ARNETT CLARION
IN
Enumeration date
11/30/2007
Last updated
11/08/2019
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