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NPI Code Detail

MEDICARE: OSSIP MANAGEMENT SOLUTIONS, LLC

MEDICARE: OSSIP MANAGEMENT SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist046009606IL

General Provider Information

NPI Number : 1649515560
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSSIP MANAGEMENT SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 9795 CROSSPOINT BLVD
Second Line : STE 100
City : INDIANAPOLIS
State : IN
Zip : 46256-3354
Country : US
Telephone Number : 317-254-6480
Fax Number : 317-259-8609
Provider Business Practice Location Address
First Line : 6322 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2521
Country : US
Telephone Number : 773-585-2022
Fax Number : 773-585-2027
Authorized Official
Title or Position : OWNER
Name : DR. GREGG L OSSIP
Credential : OD
Telephone Number : 317-254-6480
Provider Enumeration Date : 12/04/2012
Last Update Date : 10/09/2014

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Directions to “OSSIP MANAGEMENT SOLUTIONS, LLC ” Practice Location

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