Crs Optical Pc | |
715 S 9th St, Petersburg, IN 47567-1820 | |
(812) 354-9400 | |
(812) 354-2627 |
Full Name | Crs Optical Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 715 S 9th St, Petersburg, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528322195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003125A (Indiana) | Primary |
Provider Name | Clinton R Shoultz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619912599 PECOS PAC ID: 8022207505 Enrollment ID: I20110114000116 |
Mailing Address | Practice Location Address |
---|---|
Crs Optical Pc 715 S 9th St, Petersburg, IN 47567-1820 Ph: (812) 354-9400 | Crs Optical Pc 715 S 9th St, Petersburg, IN 47567-1820 Ph: (812) 354-9400 |
Renee Abrassart Ramsey Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 S 2nd St, Petersburg, IN 47567 Phone: 812-354-3331 Fax: 812-354-3331 | |
Dr. Renee T Abrassant Ramsey, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 601 E Main St, Petersburg, IN 47567 Phone: 812-354-3331 Fax: 812-354-3331 | |
Clinton R Shoultz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Petersburg, IN 47567 Phone: 812-354-9400 Fax: 812-354-2627 |