Elite Vision Consultants | |
123 N Main St Ste 102, Crown Point, IN 46307-4077 | |
(219) 310-2723 | |
Not Available |
Full Name | Elite Vision Consultants |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 123 N Main St Ste 102, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841833142 | NPI | - | NPPES |
210361680 | Medicaid | IN | |
1962859512 | Other | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Stephan G Kossis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962859512 PECOS PAC ID: 9739470063 Enrollment ID: I20160616002045 |
Mailing Address | Practice Location Address |
---|---|
Elite Vision Consultants 123 N Main St Ste 102, Crown Point, IN 46307-4077 Ph: (219) 310-2723 | Elite Vision Consultants 123 N Main St Ste 102, Crown Point, IN 46307-4077 Ph: (219) 310-2723 |
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