Provider Demographics
NPI:1376877670
Name:VISION THERAPY CENTER OF INDIANA
Entity Type:Organization
Organization Name:VISION THERAPY CENTER OF INDIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRISCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-915-1515
Mailing Address - Street 1:7440 N SHADELAND AVE
Mailing Address - Street 2:SUITE #160
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2029
Mailing Address - Country:US
Mailing Address - Phone:317-915-1515
Mailing Address - Fax:317-915-3946
Practice Address - Street 1:7440 N SHADELAND AVE
Practice Address - Street 2:SUITE #160
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2029
Practice Address - Country:US
Practice Address - Phone:317-915-1515
Practice Address - Fax:317-915-3946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002565A152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty