Organization
OPHTHALMIC PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LYNN SHEARER BA (DIRECTOR OF OPERATIONS)
(317) 817-1976
Entity
Organization
Contact information
Practice address
11220 ILLINOIS ST STE 220, CARMEL, IN 46032-9847
(317) 817-1976
(317) 817-1737
Mailing address
11220 ILLINOIS ST STE 220, CARMEL, IN 46032-9847
(317) 817-1976
(317) 817-1737
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065050
—
IN
Enumeration date
07/04/2006
Last updated
05/07/2026
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