| |
3901 W State Road 47 Ste 5, Sheridan, IN 46069-9256 | |
(317) 758-6162 | |
(317) 758-6163 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3901 W State Road 47 Ste 5, Sheridan, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174846935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18002026 (Indiana) | Primary |
Mailing Address | Practice Location Address |
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750 E Main St, Delphi, IN 46923-1327 Ph: (765) 564-2800 | 3901 W State Road 47 Ste 5, Sheridan, IN 46069-9256 Ph: (317) 758-6162 |
Andrew Gilman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3901 W State Road 47 Ste 5, Sheridan, IN 46069 Phone: 317-385-4871 |