Organization
INDIANA UNIVERSITY
Active
Other names
Indianapolis Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M. SEELEY (CREDENTIALING MANAGER)
(812) 856-7500
Entity
Organization
Contact information
Practice address
501 INDIANA AVE, INDIANAPOLIS, IN 46202-3293
(317) 321-1470
Mailing address
501 INDIANA AVE, INDIANAPOLIS, IN 46202-3293
(317) 321-1470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200717860A
—
IN
Enumeration date
04/10/2007
Last updated
03/05/2009
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