Forniss Optometric Pc

NPI 1740447184 - Optometrist - 152W00000X

NPI Details
NPI 1740447184
Enumeration Date 05/22/2008
Last Updated 11/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KIMBERLY D KIMBERLY
Position OWNER
Phone (317) 297-1788
Fax (317) 297-1790
Practice Location
5525 GEORGETOWN RD
SUITE J
INDIANAPOLIS IN, 46254-3717, US
Phone (317) 297-1788
Fax (317) 297-1790
Business Location
5525 GEORGETOWN RD
SUITE J
INDIANAPOLIS IN, 46254-3717, US
Phone (317) 297-1788
Fax (317) 297-1790
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18003112
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According to our database, Forniss Optometric Pc NPI is 1740447184, taxonomy code is 152W00000X and license number is 18003112, license state is located at Indiana. Forniss Optometric Pc physically located at 5525 Georgetown Rd, Indianapolis IN, 46254-3717. NPI Number 1033115704 has the healthcare provider type.

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1740447184 NPI number is provided on an as is basis without warranty of any kind. 1740447184 is maintained by the National Plan & Provider Enumeration System. The contents of Forniss Optometric Pc are for informational purposes only.