Samantha Polster, OD | |
1160 W. Michigan Street, Indianapolis, IN 46202-5209 | |
(317) 944-2020 | |
Not Available |
Full Name | Samantha Polster |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 9 Years |
Location | 1160 W. Michigan Street, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790162915 | NPI | - | NPPES |
201301230 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003900A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Family Physicians, Inc. | 7911992797 | 424 |
Provider Name | University Family Physicians, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043275787 PECOS PAC ID: 7911992797 Enrollment ID: O20040420000393 |
Provider Name | Precision Eye Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558523886 PECOS PAC ID: 0042479610 Enrollment ID: O20120319000085 |
Mailing Address | Practice Location Address |
---|---|
Samantha Polster, OD 250 N Shadeland Ave Ste 130, Indianapolis, IN 46219-4959 Ph: (317) 963-4792 | Samantha Polster, OD 1160 W. Michigan Street, Indianapolis, IN 46202-5209 Ph: (317) 944-2020 |
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