Jean-paul Etienne, OD | |
2901 S Mcintire Dr Ste 120, Bloomington, IN 47403-4209 | |
(812) 332-1401 | |
Not Available |
Full Name | Jean-paul Etienne |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 19 Years |
Location | 2901 S Mcintire Dr Ste 120, Bloomington, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952383937 | NPI | - | NPPES |
200528930A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003348A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of Indiana Llc | 5496091316 | 71 |
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 |
---|---|
Jean-paul Etienne, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: () - | Jean-paul Etienne, OD 2901 S Mcintire Dr Ste 120, Bloomington, IN 47403-4209 Ph: (812) 332-1401 |
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