Organization
JON DOOLEY, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON STEVEN DOOLEY O.D. (PRESIDENT)
(812) 663-7015
Entity
Organization
Contact information
Practice address
1204 N LINCOLN ST, GREENSBURG, IN 47240-1251
(812) 663-7015
(812) 663-7136
Mailing address
PO BOX 606, GREENSBURG, IN 47240-0606
(812) 663-7015
(812) 663-7136
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56000154
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200088350A
—
IN
Enumeration date
11/30/2007
Last updated
09/18/2009
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