Provider Demographics
NPI:1821713199
Name:ACTION 2 SUCCEED, LLC DBA EYE CARE 4 U
Entity Type:Organization
Organization Name:ACTION 2 SUCCEED, LLC DBA EYE CARE 4 U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPTOMETRIC SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENNA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-358-3335
Mailing Address - Street 1:PO BOX 19347
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-0347
Mailing Address - Country:US
Mailing Address - Phone:317-358-3335
Mailing Address - Fax:317-845-9177
Practice Address - Street 1:6020 E 82ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4746
Practice Address - Country:US
Practice Address - Phone:317-845-9168
Practice Address - Fax:317-845-9177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty