Provider Demographics
NPI:1659501476
Name:ROPE, ANDREA M (OD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:ROPE
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 1:1615 O ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-4116
Mailing Address - Country:US
Mailing Address - Phone:812-275-6155
Mailing Address - Fax:812-278-9405
Practice Address - Street 1:1615 O ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-4116
Practice Address - Country:US
Practice Address - Phone:812-275-6155
Practice Address - Fax:812-278-9405
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003591B152W00000X
IN18003591A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist