Individual
GREGG L OSSIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 524-6480
(317) 259-8609
Mailing address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 524-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001899
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063790
—
IN
05
—
200914970B
—
IN
Enumeration date
12/22/2006
Last updated
10/09/2014
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