Kregg Koons O.D., Inc.

LBN: Kregg Koons O.D., Inc.
Kregg Koons O.D., Inc. is an health care organization with primary practice located at 3300 Purdue Ave. , Muncie IN 47304. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kregg Koons O.D., Inc. can be contacted via phone (765) 288-1935, or through Koons, Kregg C via phone (765) 289-4727.

Contact Information

Primary practice address
3300 Purdue Ave. Muncie IN 47304
Fax:
Website:
Authorized official contact:
Name: Koons, Kregg C Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002701 Indiana

Profile Details

NPI number 1235624289
LBN Legal business name Kregg Koons O.D., Inc.
DBA Doing business as
Authorized official Koons, Kregg C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2018
Last updated Jun 22nd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235624289 NPPES
Indiana MEDICAID 100376600

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