Daugherty, James L.

Daugherty, James L. is an individual health care provider with primary practice located at 11559 Cumberland Rd #300, Fishers IN 46037-9787. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Daugherty, James L. can be contacted via phone (317) 594-5000.

Contact Information

Primary practice address
11559 Cumberland Rd #300 Fishers IN 46037-9787
Phone: (317) 594-5000
Fax: (317) 594-5056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001586AB Indiana

Profile Details

NPI number 1477725752
LBN Legal business name Daugherty, James L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Nov 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477725752 NPPES
Indiana MEDICAID 100426950

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