Southside Eye Center, P.c.

NPI #1396054458 in Greenwood, Indiana

Provider Information

NPI Number: 1396054458
Entity Type: Organization
Organization Name: Southside Eye Center, P.c.
Primary Specialty: Optometrist
Enumeration Date: Oct 6, 2010
Last Updated: Mar 20, 2012

Practice Location

Address: 1634 W SMITH VALLEY RD STE A
City: Greenwood
State: Indiana
ZIP Code: 46142-1550
Phone: (317) 883-2020

Authorized Official

Name: DR. JEREMY ELMORE, O.D.
Title: PRESIDENT
Phone: (317) 883-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X
Optometrist	152W00000X	Primary

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