Douglas A. Duerstock O.d. Inc. | |
567 Ivy Tech Dr, Madison, IN 47250-1802 | |
(812) 273-6901 | |
(812) 265-3275 |
Full Name | Douglas A. Duerstock O.d. Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 567 Ivy Tech Dr, Madison, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114258639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18002570B (Indiana) | Primary |
Provider Name | Douglas A Duerstock |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871695577 PECOS PAC ID: 7618011198 Enrollment ID: I20100222000607 |
Mailing Address | Practice Location Address |
---|---|
Douglas A. Duerstock O.d. Inc. 567 Ivy Tech Dr, Madison, IN 47250-1802 Ph: (812) 273-6901 | Douglas A. Duerstock O.d. Inc. 567 Ivy Tech Dr, Madison, IN 47250-1802 Ph: (812) 273-6901 |
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Robert Wayne Kirkpatrick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2580 Michigan Rd, Ste 2, Madison, IN 47250 Phone: 812-265-6222 Fax: 812-265-2955 | |
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Dr. Phillip D Stuart, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 441 Green Rd, Madison, IN 47250 Phone: 812-273-2020 Fax: 812-273-4022 | |
Dr. Michael D Thomas, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 441 Green Rd, Madison, IN 47250 Phone: 812-273-2020 Fax: 812-273-4022 |