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Individual

DR. DONALD R FAIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
744 E 3RD ST, BLOOMINGTON, IN 47405-3603
(812) 855-8436
(812) 855-1683
Mailing address
PO BOX 7062, INDIANAPOLIS, IN 46207-7062
(812) 855-8436
(812) 855-1683

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1239DT
KY
152W00000X
Optometrist
Primary
18004065A
IN
152W00000X
Optometrist
4279/T170
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0849818
OH
05
77540268
KY
05
77901981
OH
05
77901999
OH
05
77902757
OH
Enumeration date
05/24/2006
Last updated
01/12/2026
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