Provider Demographics
NPI:1689017253
Name:MURPHY, DOLORES HOLLAND (OD)
Entity Type:Individual
Prefix:DR
First Name:DOLORES
Middle Name:HOLLAND
Last Name:MURPHY
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 1:9745 FALL CREEK RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-4728
Mailing Address - Country:US
Mailing Address - Phone:317-578-0202
Mailing Address - Fax:
Practice Address - Street 1:9745 FALL CREEK RD
Practice Address - Street 2:SUITE 400
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-4728
Practice Address - Country:US
Practice Address - Phone:317-578-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003720152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INY32220Medicare UPIN