Reckley Eye Center Llc | |
5611 S Meridian St, Indianapolis, IN 46217-3750 | |
(317) 781-9090 | |
Not Available |
Full Name | Reckley Eye Center Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 5611 S Meridian St, 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 |
---|---|---|---|
1942755194 | NPI | - | NPPES |
100277610A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18002071 (Indiana) | Primary |
Provider Name | Kevin Reckley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295705218 PECOS PAC ID: 4688794175 Enrollment ID: I20111209000006 |
Mailing Address | Practice Location Address |
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Reckley Eye Center Llc 5611 S Meridian St, Indianapolis, IN 46217-3750 Ph: (317) 781-9090 | Reckley Eye Center Llc 5611 S Meridian St, Indianapolis, IN 46217-3750 Ph: (317) 781-9090 |
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