Dr Jacquelyn H Patterson, OD | |
2320 S Tibbs Ave, Indianapolis, IN 46241-4801 | |
(317) 241-2019 | |
(317) 487-2182 |
Full Name | Dr Jacquelyn H Patterson |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2320 S Tibbs Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912087909 | NPI | - | NPPES |
200970100 | Medicaid | IN | |
18001954B | Other | IN | CONTROLLED SUBSTANCE CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18001954A (Indiana) | Primary |
Provider Name | Wisconsin Vision Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134179427 PECOS PAC ID: 5698676518 Enrollment ID: O20050826000709 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacquelyn H Patterson, OD 103 Rohn Rd, Mooresville, IN 46158-8073 Ph: (317) 831-8480 | Dr Jacquelyn H Patterson, OD 2320 S Tibbs Ave, Indianapolis, IN 46241-4801 Ph: (317) 241-2019 |
Eskenazi Health, Optical Shop Optometrist Medicare: Medicare Enrolled Practice Location: 720 Eskenazi Ave., C6-104, Indianapolis, IN 46202 Phone: 317-880-8552 | |
Julia L Blank, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4551 Sylvan Rd, Indianapolis, IN 46228 Phone: 317-329-8462 | |
Nhi Thi Tuyet Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1901 N Meridian Street, Indianapolis, IN 46202 Phone: 317-925-2200 Fax: 317-921-0886 | |
Gloria C Jennings, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1717 W 86th St, Suite 130, Indianapolis, IN 46260 Phone: 317-876-1112 Fax: 317-876-2187 | |
Arthur D Fisher, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 E New York St, Suite 250, Indianapolis, IN 46204 Phone: 317-634-8617 | |
Michael Schottman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4200 S East St, Indianapolis, IN 46227 Phone: 217-821-5346 | |
Eskenazi Health Forest Manor Optometry & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226 Phone: 317-880-8800 |