Healthcare Provider Details

I. General information

NPI: 1609705052
Provider Name (Legal Business Name): INDY VISION CARE LTC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 S HARDING ST
INDIANAPOLIS IN
46221-1873
US

IV. Provider business mailing address

1555 S HARDING ST
INDIANAPOLIS IN
46221-1873
US

V. Phone/Fax

Practice location:
  • Phone: 317-534-5141
  • Fax:
Mailing address:
  • Phone: 317-534-5141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: COLIN C CHRISTIE
Title or Position: OWNER
Credential: OD
Phone: 317-534-5141