Alexander Theodore Tsiakopoulos, | |
10823 Broadway, Crown Point, IN 46307-7303 | |
(219) 310-8032 | |
Not Available |
Full Name | Alexander Theodore Tsiakopoulos |
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Gender | Male |
Speciality | Optometrist |
Location | 10823 Broadway, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740001080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004547A (Indiana) | Primary |
Provider Name | Crown Point Eyecare |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023535523 PECOS PAC ID: 4183983489 Enrollment ID: O20180112000339 |
Mailing Address | Practice Location Address |
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Alexander Theodore Tsiakopoulos, 2407 Foliage Ln, Dyer, IN 46311-1980 Ph: () - | Alexander Theodore Tsiakopoulos, 10823 Broadway, Crown Point, IN 46307-7303 Ph: (219) 310-8032 |
Crown Point Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 10823 Broadway, Crown Point, IN 46307 Phone: 219-310-8032 | |
Susan Houchin Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10751 Randolph St, Crown Point, IN 46307 Phone: 219-226-9477 Fax: 219-226-9481 | |
Dr. Ashley K Doolin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10751 Randolph St, Crown Point, IN 46307 Phone: 219-226-9477 Fax: 219-226-9481 | |
Jovan Alavanja, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10823 Broadway, Crown Point, IN 46307 Phone: 219-310-8032 Fax: 219-789-9775 | |