Northeast Optical in Indianapolis - Eyewear Supplier
Northeast Optical - NPI 1669692190
Northeast Optical is a Eyewear Supplier in Indianapolis, Indiana. Northeast Optical practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Northeast Optical is 1669692190. The last update date is 2013-06-21.
Northeast Optical's current location address is 2815 E 38th St, Indianapolis, Indiana. You can contact this provider via phone number 3175475525 and fax number 3175430948. The mailing address for Northeast Optical is 2815 E 38th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Optical |
|---|---|
| Address | 2815 E 38th St, Indianapolis, Indiana |
| Phone Number | 3175475525 |
| Fax Number | 3175430948 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fundenberger Linda |
| Credentials | M.D. |
| Telephone Number | 3175475525 |
NPI Number Detail
| NPI Number | 1669692190 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2013-06-21 |
Provider Mailing Address Detail
| Address | 2815 E 38th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462181229 |
| Phone Number | 3175475525 |
| Fax Number | 3175430948 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 01036129A |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100176610A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northeast Optical by the Centers for Medicare & Medicaid Services?
The Northeast Optical has been assigned the NPI (National Provider Identifier) 1669692190. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Northeast Optical?
The Northeast Optical is physically situated at 2815 E 38Th St, in the city of Indianapolis, state of IN, with the postal code 462181229.
What is Northeast Optical's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Northeast Optical is Eyewear Supplier, and the corresponding taxonomy classification code for this specialized field is 332H00000X.
When did the Northeast Optical receive its 1669692190?
The Northeast Optical was issued its 1669692190 on 2007-04-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Northeast Optical most recently updated or revised?
The information pertaining to Northeast Optical, including its address, specialty, and other relevant details, was last updated or revised on 2013-06-21.
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