| Forniss Optometric Pc | |
|
5525 Georgetown Rd, Suite J, Indianapolis, IN 46254-3717 | |
| (317) 297-1788 | |
| (317) 297-1790 |
| Full Name | Forniss Optometric Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5525 Georgetown Rd, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740447184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003112 (Indiana) | Primary |
| Provider Name | Kimberly D Forniss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720036668 PECOS PAC ID: 7012060734 Enrollment ID: I20090812000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Forniss Optometric Pc 5525 Georgetown Rd, Suite J, Indianapolis, IN 46254-3717 Ph: (317) 297-1788 | Forniss Optometric Pc 5525 Georgetown Rd, Suite J, Indianapolis, IN 46254-3717 Ph: (317) 297-1788 |
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