Basic Information
| Provider Information | |||||||||
| NPI: | 1568464287 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | WILLIAM | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9002 N MERIDIAN ST | ||||||||
| Address2: | SUITE100 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462605381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178445530 | ||||||||
| FaxNumber: | 3178445590 | ||||||||
| Practice Location | |||||||||
| Address1: | 9002 N MERIDIAN ST | ||||||||
| Address2: | SUITE100 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462605381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178445530 | ||||||||
| FaxNumber: | 3178445590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2005 | ||||||||
| LastUpdateDate: | 04/05/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207WX0120X | 01027850A | IN | N | 207W00000X | 01027850A | IN | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 100329570 | 05 | IN | MEDICAID |