Provider Demographics
NPI:1093325599
Name:HALL, TAYLOR ANN (OD)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:9002 N MERIDIAN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2301
Mailing Address - Country:US
Mailing Address - Phone:317-844-5530
Mailing Address - Fax:317-844-5590
Practice Address - Street 1:9002 N MERIDIAN ST STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5354
Practice Address - Country:US
Practice Address - Phone:317-844-5530
Practice Address - Fax:317-844-5590
Is Sole Proprietor?:No
Enumeration Date:2020-08-09
Last Update Date:2022-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN18004296A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist