Organization
ALLISONVILLE EYE CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM ROARK O.D. (PRESIDENT)
(317) 577-0707
Entity
Organization
Contact information
Practice address
10967 ALLISONVILLE RD, SUITE 120, FISHERS, IN 46038-2632
(317) 577-0707
(317) 577-1567
Mailing address
10967 ALLISONVILLE RD, SUITE 120, FISHERS, IN 46038-2632
(317) 577-0707
(317) 577-1567
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18002130A
IN
Other
Enumeration date
02/23/2007
Last updated
01/21/2010
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