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NPI Code Detail

MEDICARE: OSSIP OPTOMETRY, P.C.

MEDICARE: OSSIP OPTOMETRY, P.C.
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
1152W00000XOptometrist18003601IN

General Provider Information

NPI Number : 1902943343
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSSIP OPTOMETRY, P.C.
Provider Business Mailing Address
First Line : 9795 CROSSPOINT BLVD
Second Line : STE 100
City : INDIANAPOLIS
State : IN
Zip : 46256-3354
Country : US
Telephone Number : 317-254-6480
Fax Number : 317-259-8609
Provider Business Practice Location Address
First Line : 105 S RACEWAY ROAD
Second Line : STE 100
City : INDIANAPOLIS
State : IN
Zip : 46231-1414
Country : US
Telephone Number : 317-273-8474
Fax Number : 317-259-8609
Authorized Official
Title or Position : OWNER
Name : DR. GREGG L OSSIP
Credential : OD
Telephone Number : 317-254-6480
Provider Enumeration Date : 02/01/2007
Last Update Date : 10/09/2014

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Directions to “OSSIP OPTOMETRY, P.C. ” Practice Location

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