Balog Bremen Vision Center P C is a
Optometrist based in Bremen, Indiana. Balog Bremen Vision Center P C is licensed to practice in Indiana (license number 18001983A) and their current practice location is
1425 W Plymouth St, Bremen, Indiana. It can be reached at their office (for appointments etc.) via phone at
(574) 546-3820.
NPI number for Balog Bremen Vision Center P C is 1922104660 and their current mailing address is 1425 W Plymouth St, Bremen, Indiana. Balog Bremen Vision Center P C
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1922104660.
Healthcare Provider's Profile
| Full Name | Balog Bremen Vision Center P C |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1425 W Plymouth St, Bremen, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922104660
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 01/22/2008
Medical Identifiers
Medical identifiers for Balog Bremen Vision Center P C such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922104660 | NPI | - | NPPES |
| DA1502 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 18001983A (Indiana) | Primary |
| 332H00000X | Eyewear Supplier | 18001983A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Balog Bremen Vision Center P C is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Balog Bremen Vision Center P C
1425 W Plymouth St,
Bremen, IN 46506-1951
Ph: (574) 546-3820 | Balog Bremen Vision Center P C
1425 W Plymouth St,
Bremen, IN 46506-1951
Ph: (574) 546-3820 |
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