Individual
CAROLYN W HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
302 W 14TH ST, STE 100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
(812) 284-3822
Mailing address
302 W 14TH ST, STE 100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
(812) 284-3822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002631A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042713
ANTHEM
—
05
—
100381360
—
IN
01
—
1086829
PASSPORT
—
01
—
246589P
SIHO
—
01
—
351995025
CIGNA
—
01
—
4557632
AETNA
—
01
—
77340412
UNISYS
KY
01
—
918484
BLOCK VISION
—
Enumeration date
06/22/2005
Last updated
10/23/2020
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