Organization
MARTINSVILLE VISION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON B CUNNINGHAM OD (PRESIDENT/OWNER)
(765) 342-6654
Entity
Organization
Contact information
Practice address
219 E WASHINGTON ST, MARTINSVILLE, IN 46151-1554
(765) 342-6654
(765) 342-0418
Mailing address
219 E WASHINGTON ST, MARTINSVILLE, IN 46151-1554
(765) 342-6654
(765) 342-0418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001572B
IN
152W00000X
Optometrist
Primary
18002989B
IN
152W00000X
Optometrist
18003161B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023017639
THEODORE REX LEGLER II NPI
IN
01
—
1871592535
AARON CUNNINGHAM NPI
IN
01
—
1881693547
KELLY CUNNINGHAM NPI
IN
05
—
200076560A
—
IN
05
—
200242380A
—
IN
05
—
200242470A
—
IN
05
—
200341850A
—
IN
Enumeration date
09/22/2006
Last updated
10/02/2008
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