Individual
ANDREA RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
105 S RACEWAY RD, INDIANAPOLIS, IN 46231-1414
(317) 273-8474
Mailing address
9795 CROSSPOINT BLVD STE 100, INDIANAPOLIS, IN 46256-3348
(317) 254-6480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004047
IN
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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