Healthcare Provider Details

I. General information

NPI: 1699205898
Provider Name (Legal Business Name): ANNA SLEMP OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 N ARLINGTON AVE STE 240
INDIANAPOLIS IN
46219-3204
US

IV. Provider business mailing address

1315 N ARLINGTON AVE STE 240
INDIANAPOLIS IN
46219-3204
US

V. Phone/Fax

Practice location:
  • Phone: 317-401-9976
  • Fax: 317-401-9977
Mailing address:
  • Phone: 317-401-9976
  • Fax: 317-401-9977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18004031A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: