Provider Demographics
NPI:1518071273
Name:FRASER, AMI NAREN (OD)
Entity Type:Individual
Prefix:DR
First Name:AMI
Middle Name:NAREN
Last Name:FRASER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:AMI
Other - Middle Name:NAREN
Other - Last Name:FRASER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1375 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-1954
Mailing Address - Country:US
Mailing Address - Phone:317-873-3000
Mailing Address - Fax:317-733-2020
Practice Address - Street 1:1120 W OAK ST STE 100
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1259
Practice Address - Country:US
Practice Address - Phone:317-873-3000
Practice Address - Fax:317-733-2020
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003628152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist