Organization
CITY OPTICAL CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY S TAVEL MD (PRESIDENT)
(317) 924-1300
Entity
Organization
Contact information
Practice address
2839 LAFAYETTE RD, INDIANAPOLIS, IN 46222-2147
(317) 924-1300
(855) 326-4293
Mailing address
2839 LAFAYETTE RD, INDIANAPOLIS, IN 46222-2147
(317) 924-1300
(317) 924-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001649A
IN
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
10/27/2021
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