Provider Demographics
NPI:1841712841
Name:MCGRATH, SEAN (OD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:105 S RACEWAY RD STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46231-1415
Practice Address - Country:US
Practice Address - Phone:317-273-8474
Practice Address - Fax:317-273-8745
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN18004043A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN18004043ABOtherINDIANA OPTOMETRY LICENCING BOARD