John David Mckenna in Indianapolis - Optometrist
John David Mckenna - NPI 1104825900
John David Mckenna is a Optometrist in Indianapolis, Indiana. John David Mckenna practices all healthcare services and medical treatments related to Optometrist. The NPI Number for John David Mckenna is 1104825900. The last update date is 2012-08-03.
John David Mckenna's current location address is 1511 N Post Rd, Indianapolis, Indiana. You can contact this provider via phone number 3178991017 and fax number 3178991660. The mailing address for John David Mckenna is 1511 N Post Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Mckenna |
|---|---|
| Address | 1511 N Post Rd, Indianapolis, Indiana |
| Phone Number | 3178991017 |
| Fax Number | 3178991660 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1104825900 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2012-08-03 |
Provider Mailing Address Detail
| Address | 1511 N Post Rd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462194247 |
| Phone Number | 3178991017 |
| Fax Number | 3178991660 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18003120B |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00701435 | IN | MEDICARE RAILROAD | |
| 1104825900 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John David Mckenna?
The John David Mckenna has been issued the NPI (National Provider Identifier) 1104825900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the John David Mckenna located?
The John David Mckenna is located at 1511 N Post Rd, Indianapolis, IN 462194247.
What is John David Mckenna's area of expertise and its corresponding taxonomy classification?
The John David Mckenna's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the John David Mckenna receive the assignment of its 1104825900 from the Centers for Medicare & Medicaid Services?
The John David Mckenna was issued its 1104825900 by the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the John David Mckenna's information last updated?
The John David Mckenna's information was last updated on 2012-08-03.
NPI Number: 1225033541
Address: 261 Old York Rd, Jenkintown, PA