Individual
DR. JON RICHARD CANIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6905 E 96TH ST STE 1100, INDIANAPOLIS, IN 46250-4449
(317) 576-9809
(317) 585-9823
Mailing address
PO BOX 50594, INDIANAPOLIS, IN 46250-0594
(317) 842-8444
(317) 842-8649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001886A
IN
Other
Enumeration date
01/18/2007
Last updated
08/15/2018
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