Organization
DR. CRAIG A. FENIMORE, OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELLODY FERN WILEY (OFFICE MANAGER)
(765) 932-4800
Entity
Organization
Contact information
Practice address
1818 N MAIN ST, RUSHVILLE, IN 46173-9316
(765) 932-4800
(765) 932-2619
Mailing address
1818 N MAIN ST, RUSHVILLE, IN 46173-9316
(765) 932-4800
(765) 932-2619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
18002225
IN
332H00000X
Eyewear Supplier
Primary
18002225
IN
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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