Provider Demographics
NPI:1083770200
Name:AUXIER, DON E (OD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:E
Last Name:AUXIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2147 OAKRIDGE PKWY N
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-7812
Mailing Address - Country:US
Mailing Address - Phone:812-299-2704
Mailing Address - Fax:812-299-2704
Practice Address - Street 1:4350 S US HIGHWAY 41
Practice Address - Street 2:SAM'S CLUB
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4407
Practice Address - Country:US
Practice Address - Phone:812-238-5532
Practice Address - Fax:812-238-5681
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001739152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
INT69210Medicare UPIN
INAU520200Medicare ID - Type Unspecified