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Contact Information

VIRTUAL IMAGE EYEWEAR PC
5025 E 82ND ST
STE 2300
INDIANAPOLIS, IN46250
 Phone: 317-844-6269
 Fax: 317-815-7567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for VIRTUAL IMAGE EYEWEAR PC · (Female)

NPI # 1639204720
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2007
Last updated 04/18/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 0111609909
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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