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206 Concord Mall Dr, Elkhart, IN 46517-3154 | |
| (574) 875-4499 | |
| (317) 924-3741 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 206 Concord Mall Dr, Elkhart, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891784971 | NPI | - | NPPES |
| 200156010A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18002299 (Indiana) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
2839 Lafayette Road, Indianapolis, IN 46222-2147 Ph: (317) 924-1300 | 206 Concord Mall Dr, Elkhart, IN 46517-3154 Ph: (574) 875-4499 |
Michiana Eye Center , Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2216 Cassopolis St, Elkhart, IN 46514 Phone: 574-266-2111 Fax: 574-266-0555 | |
Jennifer Houseknecht, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3701 S Main St, Elkhart, IN 46517 Phone: 574-875-4499 Fax: 855-326-4293 | |
Dr. David Roger Britzke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 830 Parkway Ave Ste E, Elkhart, IN 46516 Phone: 574-970-7444 | |
Dr. Jennifer Suzanne Wade, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 175 County Road 6 W, Elkhart, IN 46514 Phone: 574-266-7465 Fax: 574-266-7467 | |
Olivia Elston, Optometrist Medicare: Medicare Enrolled Practice Location: 3701 S Main St, Elkhart, IN 46517 Phone: 574-875-8511 | |
Dr. Amy H Layman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2746 Old Us 20 W, Elkhart, IN 46514 Phone: 574-293-3545 Fax: 574-522-0599 |