| |
310 S Oak St, Winchester, IN 47394-2236 | |
(866) 788-0001 | |
(765) 966-2975 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 310 S Oak St, Winchester, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306079322 | NPI | - | NPPES |
200962480A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 399, Richmond, IN 47375-0399 Ph: (765) 962-2020 | 310 S Oak St, Winchester, IN 47394-2236 Ph: (866) 788-0001 |