Progressive Vision Group INC

NPI #1124130588 in Indianapolis, Indiana

Provider Information

NPI Number: 1124130588
Entity Type: Organization
Organization Name: Progressive Vision Group INC
Primary Specialty: Optometrist
Enumeration Date: Aug 31, 2006
Last Updated: Jan 18, 2010

Practice Location

Address: 4040 E 82ND ST
Address 2: SUITE C7
City: Indianapolis
State: Indiana
ZIP Code: 46250-4209
Phone: (317) 595-8855

Authorized Official

Name: DR. PERRY LOPEZ, OD
Title: OWNER
Phone: (317) 595-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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