Dr Lance Bennett, OD | |
1400 N Wayne St Ste D, Angola, IN 46703-2359 | |
(260) 668-8881 | |
(260) 665-6498 |
Full Name | Dr Lance Bennett |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1400 N Wayne St Ste D, Angola, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962871806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004017A (Indiana) | Primary |
Provider Name | Myeyedr Optometry Of Indiana Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083100424 PECOS PAC ID: 5496091316 Enrollment ID: O20190115001215 |
Mailing Address | Practice Location Address |
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Dr Lance Bennett, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Dr Lance Bennett, OD 1400 N Wayne St Ste D, Angola, IN 46703-2359 Ph: (260) 668-8881 |
Rx Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 N Wayne St Ste F, Angola, IN 46703 Phone: 260-668-8881 Fax: 260-665-6498 | |
Dr. Grey Preston Baals, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 712 Cameron Woods Dr, Angola, IN 46703 Phone: 260-668-3937 Fax: 260-668-3794 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 N Wayne St Ste D, Angola, IN 46703 Phone: 260-668-8881 | |
Doug M. Norrick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 712 Cameron Woods Dr, Angola, IN 46703 Phone: 260-665-3240 Fax: 260-668-7953 | |
Midwest Eye Consultants-angola #8 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 712 Cameron Woods Dr, Angola, IN 46703 Phone: 260-665-3240 Fax: 260-668-7953 | |
Madalyn Rose Thorp, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 712 Cameron Woods Dr, Angola, IN 46703 Phone: 260-665-3240 | |
Thomas Joseph Wiegand, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 712 Cameron Woods Dr, Angola, IN 46703 Phone: 260-668-3937 Fax: 260-668-3794 |