Organization
OSSIP OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY J LONG (DIRECTOR OF OPERATIONS FINANCE)
(317) 254-6480
Entity
Organization
Contact information
Practice address
170 S CREASY LN, STE. 1710, LAFAYETTE, IN 47905-0759
(765) 947-2020
(765) 447-2012
Mailing address
5455 HARRISON PARK LANE, INDIANAPOLIS, IN 46216
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/17/2008
Last updated
10/17/2008
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