Organization
20/20 EYE PHYSICIANS OF INDIANA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M IRELAND COA (PRACTICE MANAGER)
(317) 871-5900
Entity
Organization
Contact information
Practice address
8220 NAAB RD STE 200, INDIANAPOLIS, IN 46260-1933
(317) 817-5900
Mailing address
8220 NAAB RD STE 200, INDIANAPOLIS, IN 46260-1933
(317) 871-5900
(317) 872-6439
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IN
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062220
—
IN
01
—
CB2286
RAILROAD MEDICARE
IN
Enumeration date
09/20/2005
Last updated
09/11/2025
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