| |
2320 1/2 S Tibbs Ave, Indianapolis, IN 46241-4803 | |
(317) 241-2019 | |
(317) 487-2182 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2320 1/2 S Tibbs Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720321896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Indiana) | Secondary |
207W00000X | Ophthalmology | (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
8076 W Sahara Ave, Las Vegas, NV 89117-7930 Ph: (877) 881-0022 | 2320 1/2 S Tibbs Ave, Indianapolis, IN 46241-4803 Ph: (317) 241-2019 |