Provider Demographics
NPI:1669618005
Name:DON E. AUXIER O.D. P.C.
Entity type:Organization
Organization Name:DON E. AUXIER O.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:E
Authorized Official - Last Name:AUXIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-299-2704
Mailing Address - Street 1:3450 S US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3730
Mailing Address - Country:US
Mailing Address - Phone:812-299-2704
Mailing Address - Fax:812-238-5681
Practice Address - Street 1:2147 OAKRIDGE PKWY N
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-7812
Practice Address - Country:US
Practice Address - Phone:812-299-2704
Practice Address - Fax:812-299-2704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001739A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INAU520200OtherMEDICARE
INT69210Medicare UPIN