Whitewater Eye Center Richmond | |
1900 Chester Blvd, Richmond, IN 47374-1213 | |
(765) 962-2020 | |
(765) 966-2975 |
Full Name | Whitewater Eye Center Richmond |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1900 Chester Blvd, Richmond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962635052 | NPI | - | NPPES |
3020671 | Medicaid | OH | |
200962480C | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Timothy J Beatty |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619954294 PECOS PAC ID: 9830189752 Enrollment ID: I20040513000899 |
Provider Name | Michael S Bloom |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639128689 PECOS PAC ID: 2062483837 Enrollment ID: I20040804001160 |
Provider Name | Hui Bae H Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801874599 PECOS PAC ID: 6507833589 Enrollment ID: I20070831000007 |
Provider Name | Bryan C Hainline |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073711966 PECOS PAC ID: 8921190968 Enrollment ID: I20080624000082 |
Provider Name | Elise L Beatty |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942287511 PECOS PAC ID: 6406824531 Enrollment ID: I20090827000526 |
Provider Name | Judy D Risch |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568449155 PECOS PAC ID: 3173661444 Enrollment ID: I20091109000100 |
Provider Name | Kevin T Scripture |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1700869179 PECOS PAC ID: 7810982287 Enrollment ID: I20091109000206 |
Provider Name | Emilie J Jennings |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821352832 PECOS PAC ID: 1456501162 Enrollment ID: I20121015000398 |
Provider Name | Joseph L Moriarity |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598322844 PECOS PAC ID: 5597099879 Enrollment ID: I20190619002847 |
Provider Name | Brianna D Niehoff |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154981850 PECOS PAC ID: 3375878879 Enrollment ID: I20190703002617 |
Provider Name | Eric Daniel Scripture |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1013367119 PECOS PAC ID: 1052602976 Enrollment ID: I20200710003167 |
Provider Name | Ji-kwan Park |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1619322898 PECOS PAC ID: 9638590797 Enrollment ID: I20210302002840 |
Provider Name | Kristen S Gracia |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104543347 PECOS PAC ID: 7719355155 Enrollment ID: I20221116001690 |
Provider Name | Keegan Brady Mechels |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821558420 PECOS PAC ID: 8426489261 Enrollment ID: I20230522003037 |
Provider Name | Molly D Scripture |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831651488 PECOS PAC ID: 8224361324 Enrollment ID: I20230724000155 |
Mailing Address | Practice Location Address |
---|---|
Whitewater Eye Center Richmond Po Box 399, Richmond, IN 47375-0399 Ph: (765) 962-2020 | Whitewater Eye Center Richmond 1900 Chester Blvd, Richmond, IN 47374-1213 Ph: (765) 962-2020 |