MEDICARE: EYE CENTER OF INDIANA INC

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
1	174400000X	Specialist	010133835A	IN

General Provider Information

NPI Number	:	1033324710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CENTER OF INDIANA INC

Provider Business Mailing Address
First Line	:	5912 W 16TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-6300
Country	:	US
Telephone Number	:	317-247-1335
Fax Number	:	317-247-1442

Provider Business Practice Location Address
First Line	:	5912 W 16TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-6300
Country	:	US
Telephone Number	:	317-247-1335
Fax Number	:	317-247-1442

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JANICE L MORWICK
Credential	:
Telephone Number	:	317-247-1335

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	04/16/2010

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Directions to “EYE CENTER OF INDIANA INC ” Practice Location

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