Organization
EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE C CLARK MD (MEMBER)
(317) 843-9005
Entity
Organization
Contact information
Practice address
9002 N MERIDIAN ST, SUITE 112, INDIANAPOLIS, IN 46260-5381
(317) 843-9005
(317) 580-0443
Mailing address
9002 N MERIDIAN ST, SUITE 112, INDIANAPOLIS, IN 46260-5381
(317) 843-9005
(317) 580-0443
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01031207A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538213
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
09/07/2007
Last updated
01/29/2008
Update your record
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