Individual
DR. MARY W VANHOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1250 E COUNTY LINE RD, SUITE, INDIANAPOLIS, IN 46227-1004
(317) 882-1527
(317) 882-4092
Mailing address
624 E WALNUT ST APT 110, INDIANAPOLIS, IN 46204-1639
(317) 687-9717
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
18001568B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208291
BCBS
IN
01
—
351850049100
CARESOURCE
IN
01
—
I001713
CHAMPUS
IN
Enumeration date
10/17/2006
Last updated
07/21/2022
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