Organization
INDIANA UNIVERSITY EYE CARE, INC.
Active
Parent organization
INDIANA UNIVERSITY EYE CARE, INC.
Other names
IU Eye Care, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY EYE CARE, INC.
Authorized official
DR. LOUIS B CANTOR M.D. (CHAIRMAN)
(317) 278-2651
Entity
Organization
Contact information
Practice address
1001 HADLEY RD, SUITE 103, MOORESVILLE, IN 46158-1883
(317) 274-2020
(317) 274-3265
Mailing address
1160 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 274-2020
(317) 274-3265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003053
IN
207W00000X
Ophthalmology Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067460
—
IN
01
—
6760130003
NSC PTAN
IN
Enumeration date
11/19/2012
Last updated
07/01/2013
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