Organization
INDIANA EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAGIH A SATAR M.D. (OWNER)
(812) 385-2225
Entity
Organization
Contact information
Practice address
2020 SHERMAN DR, PRINCETON, IN 47670-1045
(812) 385-2225
(812) 385-2314
Mailing address
2020 SHERMAN DR, PRINCETON, IN 47670-1045
(812) 385-2225
(812) 385-2314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003638A
IN
207W00000X
Ophthalmology Physician
Primary
01034314A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000737384
ANTHEM BLUECROSSBLUE SHIELD
IN
05
—
201040280A
—
IN
Enumeration date
08/02/2011
Last updated
03/19/2024
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