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1789 E Bristol St, Suite C, Elkhart, IN 46514-6607 | |
| (574) 262-3631 | |
| (574) 266-9186 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1789 E Bristol St, Elkhart, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922107465 | NPI | - | NPPES |
| 2623631 | Other | IN | VSP |
| E7JT0000 | Other | IN | MEDICARE GROUP |
| 100232810 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | IN18001630B (Indiana) | Primary |
| 152W00000X | Optometrist | 180012689B (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
1789 E Bristol St, Suite C, Elkhart, IN 46514-6607 Ph: (574) 262-3631 | 1789 E Bristol St, Suite C, Elkhart, IN 46514-6607 Ph: (574) 262-3631 |
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 |