| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 536 E Main St, Richmond, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558429811 | NPI | - | NPPES |
| 100181250 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18001931A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
536 E Main St, Richmond, IN 47374 Ph: (765) 966-5584 | 536 E Main St, Richmond, IN 47374 Ph: (765) 966-5584 |
Jerry W Logan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2519 E Main St, Richmond, IN 47374 Phone: 765-966-2661 Fax: 765-965-4789 | |
Alan Gregory Tavel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4525 E Main St, Richmond, IN 47374 Phone: 317-924-1300 | |
Owens Optometry, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1120 S 9th St, Richmond, IN 47374 Phone: 765-939-2000 Fax: 765-939-0271 | |
Dr. Steven Richard Fosler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 536 E Main St, Richmond, IN 47374 Phone: 765-966-5584 |