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NPI Code Detail

MEDICARE: WILLIAM MICHAEL IRONS O.D.

MEDICARE:   WILLIAM MICHAEL IRONS  O.D.
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
1152W00000XOptometrist18001556BIN

General Provider Information

NPI Number : 1275519720
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM MICHAEL IRONS O.D.
Provider Business Mailing Address
First Line : 2750 CENTRAL AVE
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3125
Country : US
Telephone Number : 812-379-4465
Fax Number : 812-379-4450
Provider Business Practice Location Address
First Line : 2750 CENTRAL AVE
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3125
Country : US
Telephone Number : 812-379-4465
Fax Number : 812-379-4450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 11/08/2012

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