Organization
CITY OPTICAL CO., INC.
Active
Other names
Dr Tavel Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY S TAVEL MD (PRESIDENT)
(317) 924-1300
Entity
Organization
Contact information
Practice address
3536 W 86TH STREET, DR TAVEL FAMILY EYE CARE, INDIANAPOLIS, IN 46268-1992
(317) 876-9611
(317) 924-9741
Mailing address
2839 LAFAYETTE RPAD, INDIANAPOLIS, IN 46222-2147
(317) 924-1300
(317) 924-9741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002621
IN
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100364750A
—
IN
Enumeration date
10/20/2005
Last updated
10/27/2021
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