Organization
KREGG KOONS O.D., INC.
Active
Other names
Alan Lenig O.D. Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KREGG C KOONS O.D. (PRESIDENT/OWNER)
(765) 289-4727
Entity
Organization
Contact information
Practice address
5535 SCATTERFIELD RD., ANDERSON, IN 46013
(765) 642-7822
(765) 642-7608
Mailing address
5535 SCATTERFIELD RD., ANDERSON, IN 46013
(765) 642-7822
(765) 751-2207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002701
IN
152W00000X
Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100152490B
—
IN
05
—
100376600
—
IN
Enumeration date
11/08/2006
Last updated
11/08/2012
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