Individual
JAMES J LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 N RITTER AVE, 281, INDIANAPOLIS, IN 46219-3052
(317) 357-8663
(317) 357-5383
Mailing address
1400 N RITTER AVE, SUITE 281, INDIANAPOLIS, IN 46219-3052
(317) 357-8663
(317) 357-5383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001715A
IN
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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