MEDICARE: DR. KENNETH L. VANARSDALL 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
1	152W00000X	Optometrist	18001611	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0210890001	OTHER	IN	DMERC ID FOR CORPORATION
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942205687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH L. VANARSDALL O.D.

Provider Business Mailing Address
First Line	:	9795 CROSSPOINT BLVD
Second Line	:	SUITE 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	:	1033 JACKSON ST
Second Line	:	STE C
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5769
Country	:	US
Telephone Number	:	812-376-3068
Fax Number	:	812-376-6771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2005
Last Update Date	:	01/12/2015

Similar Medicare Providers

1376652933 — VANARSDALL FAMILY OPTOMETRY P C
Practice Location Address:

1033 JACKSON ST STE C
COLUMBUS, IN
47201-5769

Practice Phone: 812-376-3068
Practice Fax: 812-376-6771

1902095292 — MS. AMANDA CARRIE STARR RN
Practice Location Address:

5769 FIRWOOD PL
COLUMBUS, OH
43229-3406

Practice Phone: 614-987-5062
Practice Fax:

1093043986 — MR. RICHARD BODUNDE OLOBATUYI LPN
Practice Location Address:

2010 MARGO RD
COLUMBUS, OH
43229-5769

Practice Phone: 614-880-9057
Practice Fax:

1760714026 — MRS. TEMILADE ALAKE OLOBATUYI RN
Practice Location Address:

2010 MARGO RD
COLUMBUS, OH
43229-5769

Practice Phone: 614-880-9057
Practice Fax:

1184121436 — MALLORY GALLOWAY PA-C
Practice Location Address:

2400 17TH ST
COLUMBUS, IN
47201-5351

Practice Phone: 812-376-5757
Practice Fax:

1356932446 — JESSICA LOUISE GILLIAM FNP
Practice Location Address:

9033 N MIAMI RIDGE RD
COLUMBUS, IN
47201-4675

Practice Phone: 812-341-6634
Practice Fax:

Directions to “ DR. KENNETH L. VANARSDALL O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.