NPI 1336312636

Modern Eyes PC

Organisation Optometrist Greenwood, IN

Practice location

Address: 720 Fry Rd STE C, Greenwood, IN 46142-2411
Phone: (317) 859-8141
Fax: (317) 859-8144

Authorised official

Name: Andrea J Anderson
Title: President/Optometrist
Phone: (317) 859-8141

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002664 (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1336312636
Entity type: Organization
NPI issued: 8 Apr 2008
Record last updated: 8 Apr 2008

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.