Organization
CORESIGHT NEURO-OPHTHALMOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYSA ALI RIDHA MD (MEDICAL DIRECTOR)
(317) 663-9518
Entity
Organization
Contact information
Practice address
13400 N MERIDIAN ST, SUITE 283, CARMEL, IN 46032-7102
(317) 663-9518
Mailing address
PO BOX 281, CARMEL, IN 46082-0281
(317) 663-9518
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
01070571A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201353780A
—
IN
Enumeration date
03/07/2016
Last updated
01/12/2024
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