| |
711 Gardner Drive, Marion, IN 46952 | |
(765) 662-6257 | |
(765) 668-6797 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 711 Gardner Drive, Marion, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841272952 | NPI | - | NPPES |
2233916 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 472, Muncie, IN 47308-0472 Ph: (765) 286-8888 | 711 Gardner Drive, Marion, IN 46952 Ph: (765) 662-6257 |