Individual
DR. JOHN C VENEZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10777 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46229-2642
(317) 897-0480
(317) 897-0779
Mailing address
10777 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46229-2642
(317) 897-0480
(317) 897-0779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003710A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201046730
—
IN
Enumeration date
08/01/2011
Last updated
07/08/2015
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