Individual
DR. JAMES DANIEL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8417 KENNEDY AVE, HIGHLAND, IN 46322-1139
(219) 838-2020
(219) 838-0454
Mailing address
8417 KENNEDY AVE, HIGHLAND, IN 46322-1139
(219) 838-2020
(219) 838-0454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002583A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229339
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
07/15/2005
Last updated
07/20/2007
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