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210 W Main Cross St, Edinburgh, IN 46124-1347 | |
(812) 526-2020 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 210 W Main Cross St, Edinburgh, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780758730 | NPI | - | NPPES |
6445870001 | Other | IN | MEDICARE DMERC |
M100021583 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003247A (Indiana) | Primary |
Provider Name | Marshall W Zamora |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578565537 PECOS PAC ID: 5092608232 Enrollment ID: I20040203000584 |
Provider Name | Noah Wahl |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609229731 PECOS PAC ID: 2466745716 Enrollment ID: I20160725000128 |
Mailing Address | Practice Location Address |
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210 W Main Cross St, Edinburgh, IN 46124-1347 Ph: () - | 210 W Main Cross St, Edinburgh, IN 46124-1347 Ph: (812) 526-2020 |
Dr. Marshall W Zamora, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 W Main Cross St, Edinburgh, IN 46124 Phone: 812-526-2020 |