Heidi M Park, OD | |
3701 S Main St, Elkhart, IN 46517-3106 | |
(574) 875-8511 | |
(574) 875-8763 |
Full Name | Heidi M Park |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 19 Years |
Location | 3701 S Main St, Elkhart, 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 |
---|---|---|---|
1710902721 | NPI | - | NPPES |
180003405A | Other | IN | OPTOMETRIC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003405 A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nappanee Family Eyecare Pc | 9830214832 | 5 |
Provider Name | Nappanee Family Eyecare Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083781512 PECOS PAC ID: 9830214832 Enrollment ID: O20100914001167 |
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 |
---|---|
Heidi M Park, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: () - | Heidi M Park, OD 3701 S Main St, Elkhart, IN 46517-3106 Ph: (574) 875-8511 |
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 |