Organization
OSSIP OPTOMETRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DABELOW (DIRECTOR OF FINACE)
(317) 254-6480
Entity
Organization
Contact information
Practice address
100 S CREASY LN, STE 1530, LAFAYETTE, IN 47905-0751
(317) 254-6480
Mailing address
9795 CROSSPOINT BLVD, STE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003787
IN
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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