| Luis A Dominguez, OD | |
|
2400 Morthland Dr, Valparaiso, IN 46383-8329 | |
| (219) 465-2788 | |
| Not Available |
| Full Name | Luis A Dominguez |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 2400 Morthland Dr, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528178316 | NPI | - | NPPES |
| 200485370 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 18003313 (Indiana) | Primary |
| Provider Name | Luxottica of America Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831244953 PECOS PAC ID: 2567366180 Enrollment ID: O20031222000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis A Dominguez, OD 11917 W 107th Pl, Saint John, IN 46373-8868 Ph: (219) 552-4756 | Luis A Dominguez, OD 2400 Morthland Dr, Valparaiso, IN 46383-8329 Ph: (219) 465-2788 |
Dr. Richard Scott Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 Eastport Centre Dr, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 |
Stephen R Buck, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 |
Stanley N. Blackman, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383 Phone: 219-462-5501 Fax: 219-462-3238 |
Nikole T Schilling, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Burlington Beach Rd., Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 |
Dr. Phillip George Koultourides, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2400 Morthland Dr, Valparaiso, IN 46383 Phone: 219-465-2788 Fax: 219-465-2785 |
Haley Paul, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2450 Laporte Ave, Valparaiso, IN 46383 Phone: 219-531-6209 |
D/b/a Lewyckyj-taglia- Felton Eye Clinics Optometrist Medicare: Medicare Enrolled Practice Location: 2101 Burlington Beach Rd, Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 |