| Decleene Optometry, Inc. | |
|
608 E Boulevard, Kokomo, IN 46902-2286 | |
| (765) 453-5005 | |
| (765) 453-8937 |
| Full Name | Decleene Optometry, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 608 E Boulevard, Kokomo, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780739540 | NPI | - | NPPES |
| 100420590A | Medicaid | IN | |
| 100341590 | Medicaid | IN | |
| 100341640 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18002523A (Indiana) | Primary |
| Provider Name | Frank Decleene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255323226 PECOS PAC ID: 8628013612 Enrollment ID: I20111005000422 |
| Provider Name | Catherine Marie Decleene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427040492 PECOS PAC ID: 3173568169 Enrollment ID: I20111005000435 |
| Provider Name | Travis Christopher Stephens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306295894 PECOS PAC ID: 8325319361 Enrollment ID: I20170911000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Decleene Optometry, Inc. 608 E Boulevard, Kokomo, IN 46902-2286 Ph: (765) 453-5005 | Decleene Optometry, Inc. 608 E Boulevard, Kokomo, IN 46902-2286 Ph: (765) 453-5005 |
Dr. Raymond A. Hopper, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1419 S Reed Rd, Kokomo, IN 46902 Phone: 765-459-8182 Fax: 765-459-5550 | |
Midwest Eye Consultants #25 Optometrist Medicare: Medicare Enrolled Practice Location: 2705 S Berkley Rd, Kokomo, IN 46902 Phone: 765-453-2200 Fax: 765-453-1768 | |
C & B Optical One Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1919 E Markland Ave, Kokomo, IN 46901 Phone: 765-459-5545 Fax: 765-459-5550 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1415 S Reed Rd, Kokomo, IN 46902 Phone: 765-416-0570 | |
Midwest Eye Consultants #05 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 W Walnut St, Kokomo, IN 46901 Phone: 765-459-5137 Fax: 765-459-5138 | |
Drs. Calvin And Burkhart Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 W Lincoln Rd, Kokomo, IN 46902 Phone: 765-453-2907 Fax: 765-453-6111 | |
Dr. R. Michael Fewell, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3421 S Lafountain St, Suite A, Kokomo, IN 46902 Phone: 765-455-0404 Fax: 765-455-1765 |