| 21 North Kids Llc | |
|
21 1/2 Washington St, Valparaiso, IN 46383-4778 | |
| (219) 286-7007 | |
| Not Available |
| Full Name | 21 North Kids Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21 1/2 Washington St, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811744626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Sarah Anne Tsagris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659348407 PECOS PAC ID: 5799753927 Enrollment ID: I20040924000096 |
| Provider Name | Juliana Grove |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366606873 PECOS PAC ID: 6204017007 Enrollment ID: I20131015000843 |
| Provider Name | Jennifer Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336452655 PECOS PAC ID: 1658497540 Enrollment ID: I20150508001906 |
| Mailing Address | Practice Location Address |
|---|---|
| 21 North Kids Llc 21 1/2 Washington St, Valparaiso, IN 46383-4778 Ph: () - | 21 North Kids Llc 21 1/2 Washington St, Valparaiso, IN 46383-4778 Ph: (219) 286-7007 |
Dr. Richard Scott Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 Eastport Centre Dr, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 | |
Stephen R Buck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 | |
Stanley N. Blackman, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383 Phone: 219-462-5501 Fax: 219-462-3238 | |
Nikole T Schilling, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Burlington Beach Rd., Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 | |
Dr. Phillip George Koultourides, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2400 Morthland Dr, Valparaiso, IN 46383 Phone: 219-465-2788 Fax: 219-465-2785 | |
Northwest Indiana Eye & Laser Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 851 Eastport Centre Dr, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 |