Matthew R Doore, OD | |
901 E 86th St, Indianapolis, IN 46240-1807 | |
(317) 844-5500 | |
(317) 208-2248 |
Full Name | Matthew R Doore |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 4 Years |
Location | 901 E 86th St, Indianapolis, 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 |
---|---|---|---|
1780274613 | NPI | - | NPPES |
107206 | Other | IA | STATE LICENSE |
300080058 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 107206 (Iowa) | Secondary |
152W00000X | Optometrist | 18004373A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Whitson Vision Pc | 9931177029 | 4 |
Provider Name | Whitson Vision Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568493005 PECOS PAC ID: 9931177029 Enrollment ID: O20040916001235 |
Mailing Address | Practice Location Address |
---|---|
Matthew R Doore, OD 901 E 86th St, Indianapolis, IN 46240-1807 Ph: (317) 844-5500 | Matthew R Doore, OD 901 E 86th St, Indianapolis, IN 46240-1807 Ph: (317) 844-5500 |
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