Craig Michael Lichlyter, OD | |
781 E North St, Kendallville, IN 46755-1225 | |
(260) 347-3458 | |
(260) 347-4425 |
Full Name | Craig Michael Lichlyter |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 14 Years |
Location | 781 E North St, Kendallville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720392020 | NPI | - | NPPES |
200992180 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003657A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Drs Roush And Will Optometrists Inc | 9830165026 | 5 |
Provider Name | Drs Roush & Will Optometrists Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578613295 PECOS PAC ID: 9830165026 Enrollment ID: O20040908001624 |
Mailing Address | Practice Location Address |
---|---|
Craig Michael Lichlyter, OD 781 E North St, Kendallville, IN 46755-1225 Ph: (260) 347-3458 | Craig Michael Lichlyter, OD 781 E North St, Kendallville, IN 46755-1225 Ph: (260) 347-3458 |
Robert Alan Roush, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 781 E North Street, Kendallville, IN 46755 Phone: 260-347-3458 Fax: 260-347-4425 | |
Rx Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 208 W North St, Kendallville, IN 46755 Phone: 260-349-1008 Fax: 260-349-0549 | |
Elizabeth Jane Roush, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 781 E North St, Kendallville, IN 46755 Phone: 260-347-3458 Fax: 260-347-4425 | |
Drs. Roush & Will Optometrists Inc Optometrist Medicare: Medicare Enrolled Practice Location: 781 E. North St, Kendallville, IN 46755 Phone: 260-347-3611 Fax: 260-347-4425 | |
Dr. Matthew S Will, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 781 E North Street, Kendallville, IN 46755 Phone: 260-347-3458 Fax: 260-347-4425 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 208 W North St, Kendallville, IN 46755 Phone: 260-349-1008 |