Individual
DR. SHELLEY KALUF DIEUDONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
980 AVERITT RD, GREENWOOD, IN 46143-9540
(317) 254-6480
(317) 259-8609
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000617702
ANTHM BC/BS
IN
01
—
IN3192
EYEMED
IN
Enumeration date
09/07/2007
Last updated
03/27/2014
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