Archer, Angela A
Archer, Angela A is an individual health care provider with primary practice located at Greenwood Family Eyecare 710 Executive Park Dr Ste S1, Greenwood IN 46143. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Archer, Angela A can be contacted via phone (317) 887-1017.Contact Information
Primary practice address
Greenwood Family Eyecare 710 Executive Park Dr Ste S1
Greenwood IN 46143
Phone: (317) 887-1017
Fax: (317) 888-8194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18003350 | Indiana |
Profile Details
| NPI number | 1417942764 |
|---|---|
| LBN Legal business name | Archer, Angela A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417942764 | NPPES |
| Indiana | Other | NA | VISION SERVICE PLAN |
| Indiana | Other | NA | VISION SERVICE PLAN |
| Indiana | Other | PENDING | VISION SERVICE PLAN |
| Indiana | Other | PENDING | VISION SERVICE PLAN |
| Indiana | Other | PENDING | VISION SERVICE PLAN |
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