Individual
DIANA PRLJEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19 E MAIN ST, CARMEL, IN 46032-1919
(317) 669-2312
Mailing address
19 E MAIN ST, CARMEL, IN 46032-1919
(317) 669-2312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003850A
IN
152W00000X
Optometrist
6310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18003850A
STATE LICENSE
IN
01
—
18003850B
DRUG LEGEND CERTIFICATE NUMBER
IN
01
—
6310
STATE LICENSE
OH
Enumeration date
06/17/2014
Last updated
06/01/2021
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