Individual
DR. ABBY ELIZABETH SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1111 N MERIDIAN ST, PORTLAND, IN 47371-1024
(260) 726-4210
(260) 726-9347
Mailing address
911 W RACE ST, PORTLAND, IN 47371-1231
(260) 251-8064
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004215A
IN
Other
Enumeration date
06/05/2020
Last updated
06/14/2021
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