Organization
EYECARE INDIANA
Active
Other names
Eyecare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG L OSSIP O.D. (OWNER)
(317) 254-6480
Entity
Organization
Contact information
Practice address
24 N EARL AVE, LAFAYETTE, IN 47904-2813
(765) 447-0880
(765) 447-4789
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003749
IN
152W00000X
Optometrist
Primary
18003757
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201095580
—
IN
Enumeration date
05/21/2008
Last updated
10/09/2014
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