Organization
CONNIE M ANANIAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE M HAINES DR (OWNER)
(309) 836-2456
Entity
Organization
Contact information
Practice address
7235 E 96TH ST, INDIANAPOLIS, IN 46250-3308
(317) 585-9453
(317) 585-9886
Mailing address
7235 E 96TH ST, INDIANAPOLIS, IN 46250-3308
(317) 585-9453
(317) 585-9886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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