| |
701 Superior Ave., Suite A, Munster, IN 46321-4037 | |
(219) 934-0150 | |
(219) 934-0152 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 701 Superior Ave., Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861686099 | NPI | - | NPPES |
100315020 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2101 Burlington Beach Rd., Valparaiso, IN 46383-1665 Ph: (219) 462-0309 | 701 Superior Ave., Suite A, Munster, IN 46321-4037 Ph: (219) 934-0150 |