Whalio Doctors

NPI 1396054458

Southside Eye Center, P.C.

Organisation Optometrist Greenwood, IN

Practice location

Address
1634 W Smith Valley Rd STE a, Greenwood, IN 46142-1550
Phone
(317) 883-2020
Fax
(317) 883-2059

Authorised official

Name
Jeremy Elmore
Title
President
Phone
(317) 883-2020

Registered specialties (6)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003454 (IN)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 18003454 (IN)
Low Vision Rehabilitation Optometrist
Eye and Vision Services Providers Taxonomy 152WL0500X Licence 18003454 (IN)
Pediatric Optometrist
Eye and Vision Services Providers Taxonomy 152WP0200X Licence 18003454 (IN)
Vision Therapy Optometrist
Eye and Vision Services Providers Taxonomy 152WV0400X Licence 18003454 (IN)
Occupational Vision Optometrist
Eye and Vision Services Providers Taxonomy 152WX0102X Licence 18003454 (IN)

Registry record

NPI
1396054458
Entity type
Organization
NPI issued
6 Oct 2010
Record last updated
20 Mar 2012

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.