Provider Demographics
NPI:1194945881
Name:RICHARD & ARMSTRONG OPTOMETRY
Entity type:Organization
Organization Name:RICHARD & ARMSTRONG OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-887-2800
Mailing Address - Street 1:2020 S. S.R 135
Mailing Address - Street 2:300
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-2385
Mailing Address - Country:US
Mailing Address - Phone:317-887-2800
Mailing Address - Fax:317-887-2958
Practice Address - Street 1:2020 S. S.R 135
Practice Address - Street 2:300
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-2385
Practice Address - Country:US
Practice Address - Phone:317-887-2800
Practice Address - Fax:317-300-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000364685OtherANTHEM BLUE CROSS BLUE SH
INDD2587OtherPALMETTO GBA-RR MEDICARE
IN5423480001Medicare NSC
IN225170Medicare PIN