Search › Indiana › 152W00000X
Jack Derby, OD
NPI 1841671948 · on the registry since 2015
Practice
- Address
- 506 S Washington St
Marion, IN 46953 - Phone
- (765) 662-6648
- Fax
- (765) 662-6250
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana