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
1608 W. MCGALLIARD RD., MUNCIE, IN 47304
(765) 289-4727
(765) 751-2207
Mailing address
1608 W. MCGALLIARD RD., MUNCIE, IN 47304
(765) 289-4727
(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
—
10015240A
—
IN
05
—
100376600
—
IN
Enumeration date
11/08/2006
Last updated
10/19/2012
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