Healthcare Provider Details

I. General information

NPI: 1811821853
Provider Name (Legal Business Name): MARGARET JOSEPHINE HATHAWAY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET JOSEPHINE DEBOY OD

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 S STATE ROAD 39
FRANKFORT IN
46041-7655
US

IV. Provider business mailing address

2070 S STATE ROAD 39
FRANKFORT IN
46041-7655
US

V. Phone/Fax

Practice location:
  • Phone: 765-659-2020
  • Fax: 765-654-4668
Mailing address:
  • Phone: 765-659-2020
  • Fax: 765-654-4668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18004661A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: