Organization
FISHERS EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DAUGHERTY OD (OWNER)
(317) 594-5000
Entity
Organization
Contact information
Practice address
11559 CUMBERLAND RD, SUITE 300, FISHERS, IN 46037-9787
(317) 594-5000
(317) 594-5056
Mailing address
11559 CUMBERLAND RD, SUITE 300, FISHERS, IN 46037-9787
(317) 594-5000
(317) 594-5056
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001586AB
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100426950
—
IN
Enumeration date
07/29/2006
Last updated
12/01/2009
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