Organization
EYE SPECIALISTS OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY KRIBLEY (BILLING DEPT MANAGER)
(317) 920-4575
Entity
Organization
Contact information
Practice address
1901 N MERIDIAN ST, INDIANAPOLIS, IN 46202-1303
(317) 925-2200
Mailing address
1901 N MERIDIAN ST, INDIANAPOLIS, IN 46202-1303
(317) 925-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
50003538A
IN
207W00000X
Ophthalmology Physician
50003538A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100436460A
—
IN
Enumeration date
01/29/2007
Last updated
11/07/2019
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