Emily Mangiaracina, OD | |
310 W. 112th, Crown Point, IN 46307 | |
(219) 763-8112 | |
Not Available |
Full Name | Emily Mangiaracina |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 7 Years |
Location | 310 W. 112th, Crown Point, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700314630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004152A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northshore Health Centers Inc | 5799671236 | 29 |
Provider Name | Northshore Health Centers Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
Provider Name | Myeyedr Optometry Of Indiana Llc |
---|---|
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 |
---|---|
Emily Mangiaracina, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Emily Mangiaracina, OD 310 W. 112th, Crown Point, IN 46307 Ph: (219) 763-8112 |
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