John P Downey, OD | |
800 E Atwater Ave, Bloomington, IN 47405-3635 | |
(812) 855-4447 | |
Not Available |
Full Name | John P Downey |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 800 E Atwater Ave, Bloomington, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164491445 | NPI | - | NPPES |
200114130 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18002806A (Indiana) | Primary |
Provider Name | Bristol Bay Area Health Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
Mailing Address | Practice Location Address |
---|---|
John P Downey, OD 800 E Atwater Ave, Bloomington, IN 47405-3635 Ph: (812) 855-4447 | John P Downey, OD 800 E Atwater Ave, Bloomington, IN 47405-3635 Ph: (812) 855-4447 |
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