Gloria C Jennings Od, Professional Corporation

NPI 1063642189 - Optometrist - 152W00000X

NPI Details
NPI 1063642189
Enumeration Date 07/23/2009
Last Updated 09/05/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GLORIA C GLORIA
Position OPTOMETRIST
Phone (317) 876-1112
Fax (317) 876-2187
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 18001957
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According to our database, Gloria C Jennings Od, Professional Corporation NPI is 1063642189, taxonomy code is 152W00000X and license number is 18001957, license state is located at Indiana. Gloria C Jennings Od, Professional Corporation physically located at 1717 W 86th St, Indianapolis IN, 46260-2050. NPI Number 1033115704 has the healthcare provider type.

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1063642189 NPI number is provided on an as is basis without warranty of any kind. 1063642189 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria C Jennings Od, Professional Corporation are for informational purposes only.