Individual
DR. DEBRA L MCCONNAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1634 W SMITH VALLEY RD, STE A, GREENWOOD, IN 46142-1550
(317) 883-2020
(317) 883-2509
Mailing address
1634 W SMITH VALLEY RD, STE A, GREENWOOD, IN 46142-1550
(317) 883-2020
(317) 883-2509
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
18002361B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220970
ANTHEM
IN
01
—
201434685
SAGAMORE
IN
01
—
4588556
AETNA
IN
Enumeration date
06/01/2005
Last updated
10/21/2015
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