Individual
DR. MARY BETH BETH WOEHRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
980 S AVERITT ROAD, SUITE 4, GREENWOOD, IN 46143-9450
(317) 881-4143
(317) 259-8609
Mailing address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002492A
IN
152WV0400X
Vision Therapy Optometrist
8002492B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299181
BCBS
IN
05
—
200227780
—
IN
01
—
351850049102
CARESOURCE
IN
Enumeration date
10/17/2006
Last updated
09/09/2014
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