Jacqueline Brooke Garrison, OD | |
2839 Lafayette Rd, Indianapolis, IN 46222-2147 | |
(317) 924-1300 | |
(855) 326-4293 |
Full Name | Jacqueline Brooke Garrison |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2839 Lafayette Rd, 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 |
---|---|---|---|
1578943445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003895A (Indiana) | Primary |
Provider Name | City Optical Co Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003805185 PECOS PAC ID: 5597668574 Enrollment ID: O20040128000867 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Brooke Garrison, OD 2839 Lafayette Rd, Indianapolis, IN 46222-2147 Ph: (317) 924-1300 | Jacqueline Brooke Garrison, OD 2839 Lafayette Rd, Indianapolis, IN 46222-2147 Ph: (317) 924-1300 |
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