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General NPI Number Information
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NPI Number | 1871588442
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Entity Type | Organization
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Legal Business Name | 20/20 EYE PHYSICIANS OF INDIANA P C
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8220 NAAB RD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1933
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Country | US
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Telephone | 317-817-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 8220 NAAB RD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1933
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Country | US
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Telephone | 317-871-5900
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Fax | 317-872-6439
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DONNA M IRELAND
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Credential | COA
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Telephone | 317-871-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | IN
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