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INDIANA EYE SPECIALISTS NPI 1164722690


NPI Information

NPI: 1164722690
Provider Name: INDIANA EYE SPECIALISTS

Other Name: FUNKY SPEX

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
76 W SPRINGHILL DR
TERRE HAUTE, IN
ZIP 47802
Phone: (812) 299-2020
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INDIANA EYE SPECIALISTS is an eyewear supplier in Terre Haute, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. INDIANA EYE SPECIALISTS NPI is 1164722690. The provider is registered as an organization entity type.
The provider Other Name Is Funky Spex.

The provider's business location address is:

76 W SPRINGHILL DR
TERRE HAUTE, IN
ZIP 47802-767
Phone: (812) 299-2020
Fax: (812) 299-0519

The provider's authorized official is Andrew S. Farber .
The authorized official title is Owner and has the following contact phone number (812) 299-2020.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier01035971AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1249480MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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