La Porte Physician Network Ophthalmology Care is a
Durable Medical Equipment & Medical Supplies based in La Porte, Indiana. La Porte Physician Network Ophthalmology Care is licensed to practice in Indiana (license number ) and their current practice location is
1300 State St, Suite 1b, La Porte, Indiana. It can be reached at their office (for appointments etc.) via phone at
(219) 362-6297.
NPI number for La Porte Physician Network Ophthalmology Care is 1275081788 and their current mailing address is Po Box 689022, Franklin, Tennessee. La Porte Physician Network Ophthalmology Care
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1275081788.
Healthcare Provider's Profile
| Full Name | La Porte Physician Network Ophthalmology Care |
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| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 1300 State St, La Porte, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275081788
- Provider Enumeration Date: 09/13/2016
- Last Update Date: 09/27/2016
Medical Identifiers
Medical identifiers for La Porte Physician Network Ophthalmology Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275081788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (Indiana) | Secondary |
| 156F00000X | Technician/technologist | (Indiana) | Secondary |
| 207W00000X | Ophthalmology | (Indiana) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. La Porte Physician Network Ophthalmology Care is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
La Porte Physician Network Ophthalmology Care
Po Box 689022,
Franklin, TN 37068-9022
Ph: () - | La Porte Physician Network Ophthalmology Care
1300 State St, Suite 1b,
La Porte, IN 46350-3185
Ph: (219) 362-6297 |
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