Provider Demographics
NPI:1588012512
Name:DOWNEY, HANNAH ELISE (OD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:ELISE
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8569 N MAYNE RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:IN
Mailing Address - Zip Code:46783-9172
Mailing Address - Country:US
Mailing Address - Phone:260-438-2566
Mailing Address - Fax:
Practice Address - Street 1:14250 CLAY TERRACE BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3632
Practice Address - Country:US
Practice Address - Phone:317-844-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003960A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist