Christopher David Emmons, OD | |
6020 E 82nd St, Indianapolis, IN 46250-4746 | |
(317) 841-0712 | |
Not Available |
Full Name | Christopher David Emmons |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 6020 E 82nd St, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245469212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003582 (Indiana) | Primary |
Provider Name | Indiana Eye Doctors |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336512334 PECOS PAC ID: 2062745805 Enrollment ID: O20190610001398 |
Mailing Address | Practice Location Address |
---|---|
Christopher David Emmons, OD 8025 E 82nd St, Indianapolis, IN 46256-3432 Ph: (317) 989-4442 | Christopher David Emmons, OD 6020 E 82nd St, Indianapolis, IN 46250-4746 Ph: (317) 841-0712 |
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