Provider Demographics
NPI:1609519545
Name:GINIER OPTOMETRY LLC
Entity Type:Organization
Organization Name:GINIER OPTOMETRY LLC
Other - Org Name:317 EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GINIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-259-4234
Mailing Address - Street 1:6326 RUCKER RD STE C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-4861
Mailing Address - Country:US
Mailing Address - Phone:317-259-4234
Mailing Address - Fax:317-259-1538
Practice Address - Street 1:6326 RUCKER RD STE C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4861
Practice Address - Country:US
Practice Address - Phone:317-259-4234
Practice Address - Fax:317-259-4234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty