Individual
DR. D PENN MOODY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8936 SOUTHPOINTE DR, SUITE C-5, INDIANAPOLIS, IN 46227-7507
(317) 883-1122
(317) 883-1139
Mailing address
8936 SOUTHPOINTE DR, SUITE C-5, INDIANAPOLIS, IN 46227-7507
(317) 883-1122
(317) 883-1139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001808B
IN
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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