Organization
OSSIP OPTOMETRY PC
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
8411 WINDFALL LANE, SUITE 130, CAMBY, IN 46113
(317) 821-3500
(317) 821-3533
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
—
IN
Other
Enumeration date
12/26/2007
Last updated
08/20/2009
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