Kregg Koons O.d., Inc.

NPI #1235624289 in Muncie, Indiana

Provider Information

NPI Number: 1235624289
Entity Type: Organization
Organization Name: Kregg Koons O.d., Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: KREGG KOONS O.D., INC.
Primary Specialty: Optometrist
Enumeration Date: Jun 22, 2018
Last Updated: Jun 22, 2018

Practice Location

Address: 3300 PURDUE AVE.
City: Muncie
State: Indiana
ZIP Code: 47304
Phone: (765) 288-1935

Authorized Official

Name: KREGG C KOONS, OD
Title: OWNER
Phone: (765) 289-4727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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