Gloria C Jennings O.D.

NPI 1023141249 - Optometrist - 152W00000X

NPI Details
NPI 1023141249
Gender Female
Enumeration Date 03/14/2007
Last Updated 09/05/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1717 W 86TH ST
SUITE 130
INDIANAPOLIS IN, 46260-2050, US
Phone (317) 876-1112
Fax (317) 876-2187
Business Location
1717 W 86TH ST
SUITE 130
INDIANAPOLIS IN, 46260-2050, US
Phone (317) 876-1112
Fax (317) 876-2187
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18001957A
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According to our database, Gloria C Jennings O.D. NPI is 1023141249, taxonomy code is 152W00000X and license number is 18001957A, license state is located at Indiana. Gloria C Jennings O.D. physically located at 1717 W 86th St, Indianapolis IN, 46260-2050. NPI Number Gloria C Jennings O.D. has the Individual type.

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1023141249 NPI number is provided on an as is basis without warranty of any kind. 1023141249 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria C Jennings O.D. are for informational purposes only.