| Dr. Jorge A. Benavente Optometrist Pc | |
|
9175 Calumet Avenue, Munster, IN 46321-2805 | |
| (219) 836-7800 | |
| (219) 836-4806 |
| Full Name | Dr. Jorge A. Benavente Optometrist Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9175 Calumet Avenue, Munster, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063740744 | NPI | - | NPPES |
| 201033420A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jorge A Benavente |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952409583 PECOS PAC ID: 9234270117 Enrollment ID: I20100114000383 |
| Provider Name | Kyle Daniel Snyder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073863965 PECOS PAC ID: 1850546821 Enrollment ID: I20130222000218 |
| Provider Name | Bessie J Anthony |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558538447 PECOS PAC ID: 6204138035 Enrollment ID: I20160111001018 |
| Provider Name | Selma Hannoun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508053224 PECOS PAC ID: 1355503616 Enrollment ID: I20160111002052 |
| Provider Name | Suzanna E Acosta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871006338 PECOS PAC ID: 4486910940 Enrollment ID: I20171213001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jorge A. Benavente Optometrist Pc 9175 Calumet Ave, Munster, IN 46321-2805 Ph: (219) 836-7800 | Dr. Jorge A. Benavente Optometrist Pc 9175 Calumet Avenue, Munster, IN 46321-2805 Ph: (219) 836-7800 |
South Shore Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 10413 Calumet Ave., Munster, IN 46321 Phone: 219-902-4176 | |
Dr. Susan Gailmard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 630 Ridge Rd, Munster, IN 46321 Phone: 219-836-1738 Fax: 219-836-2822 | |
Dr. Neil Bennett Gailmard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 630 Ridge Rd, Munster, IN 46321 Phone: 219-836-1738 Fax: 219-836-2822 | |
Dr. Amanda Sprehe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 630 Ridge Rd, Munster, IN 46321 Phone: 219-836-1738 | |
Dr. Bradley Anderson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7214 | |
Richard J Peach Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Macarthur Blvd, Suite 10, Munster, IN 46321 Phone: 219-836-5326 Fax: 219-836-5326 |