Organization
KREGG KOONS O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KREGG C KOONS O.D. (OWNER)
(765) 289-4727
Entity
Organization
Contact information
Practice address
3300 W FOX RIDGE LN, MUNCIE, IN 47304-5201
(765) 289-4727
(765) 751-2207
Mailing address
3300 W FOX RIDGE LN, MUNCIE, IN 47304-5201
(765) 289-4727
(765) 751-2207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002701
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376600
—
IN
Enumeration date
01/03/2013
Last updated
08/27/2015
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