Organization
20/20 EYE PHYSICIANS OF INDIANA, PC
Active
Parent organization
20/20 EYE PHYSICIANS OF INDIANA, PC
Other names
20/20 Physicians Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
20/20 EYE PHYSICIANS OF INDIANA, PC
Authorized official
DONNA M IRELAND COA (PRACTICE MANAGER)
(317) 871-5900
Entity
Organization
Contact information
Practice address
4880 CENTURY PLAZA RD, SUITE 140, INDIANAPOLIS, IN 46254-5469
(317) 328-0901
(317) 328-5038
Mailing address
2020 W 86TH ST, SUITE 200, INDIANAPOLIS, IN 46260-1969
(317) 871-5900
(317) 872-6439
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0003928578
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB2286
RAILROAD MEDICARE
IN
Enumeration date
09/13/2006
Last updated
03/31/2021
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