NPI 1063642189

Gloria C Jennings OD, Professional Corporation

Organisation Optometrist Indianapolis, IN

Practice location

Address: 1717 W 86th St Suite 130, Indianapolis, IN 46260-2050
Phone: (317) 876-1112
Fax: (317) 876-2187

Authorised official

Name: Gloria C Jennings
Title: Optometrist
Phone: (317) 876-1112

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18001957 (IN)

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Registry record

NPI: 1063642189
Entity type: Organization
NPI issued: 23 Jul 2009
Record last updated: 5 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.