Crosstown Optical
Organization Active NPI Optometrist · Martinsville, IN
NPI 1356566970 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356566970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 18001808B (IN)
- Legal business name
- CROSSTOWN OPTICAL
- Practice address
- 990 S Marion St
Martinsville, IN 46151-2438 - Phone
- (765) 342-5497
- Fax
- (765) 349-1922
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Graciela Z Moody
- Title
- President
- Phone
- (765) 342-5497
Practitioners 2
-
Shana D. Hunt, O.D.
-
Philip Salamander, M.A., CCC-A
National Provider Directory
Locations
990 S Marion St
Martinsville, IN 46151
Phone (765) 342-5497
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 18001808B | IN | Yes |
Addresses
Primary practice location
990 S Marion St
Martinsville, IN 46151-2438
Mailing address
990 S Marion St
Martinsville, IN 46151-2438
Phone (765) 342-5497
Other names
- Crosstown Eyecare
Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.