Peter John Koerner, OD | |
9741 E Washington St, Indianapolis, IN 46229-3035 | |
(317) 869-0975 | |
Not Available |
Full Name | Peter John Koerner |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 12 Years |
Location | 9741 E Washington 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 |
---|---|---|---|
1922349836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003767A (Indiana) | Secondary |
152W00000X | Optometrist | 1806 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Eye Center Pa | 4284728726 | 5 |
Provider Name | The Eye Center Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831127471 PECOS PAC ID: 4284728726 Enrollment ID: O20070914000460 |
Mailing Address | Practice Location Address |
---|---|
Peter John Koerner, OD 10110 Two Notch Rd, Columbia, SC 29223-4383 Ph: (803) 365-9024 | Peter John Koerner, OD 9741 E Washington St, Indianapolis, IN 46229-3035 Ph: (317) 869-0975 |
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