| |
300 W Walnut St, Kokomo, IN 46901-4415 | |
(765) 459-5137 | |
(765) 459-5138 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 300 W Walnut St, Kokomo, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043273659 | NPI | - | NPPES |
200102070A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 56000164A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Po Box 549, Wabash, IN 46992-0549 Ph: (260) 569-9550 | 300 W Walnut St, Kokomo, IN 46901-4415 Ph: (765) 459-5137 |
Dr. Raymond A. Hopper, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1419 S Reed Rd, Kokomo, IN 46902 Phone: 765-459-8182 Fax: 765-459-5550 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1415 S Reed Rd, Kokomo, IN 46902 Phone: 765-416-0570 | |
Dr. R. Michael Fewell, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3421 S Lafountain St, Suite A, Kokomo, IN 46902 Phone: 765-455-0404 Fax: 765-455-1765 |