| Stanley N. Blackman, O.d., P.c. | |
|
2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765 | |
| (219) 462-5501 | |
| (219) 462-3238 |
| Full Name | Stanley N. Blackman, O.d., P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2009 Roosevelt Rd, Valparaiso, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134312531 | NPI | - | NPPES |
| 1518931310 | Other | IN | NPI INDIVIDUAL |
| 000000084617 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18001528B (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley N. Blackman, O.d., P.c. 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765 Ph: (219) 462-5501 | Stanley N. Blackman, O.d., P.c. 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765 Ph: (219) 462-5501 |
Dr. Richard Scott Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 | |
Stephen R Buck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 | |
Nikole T Schilling, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Burlington Beach Rd., Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 | |
Dr. Phillip George Koultourides, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2400 Morthland Dr, Valparaiso, IN 46383 Phone: 219-465-2788 Fax: 219-465-2785 | |
D/b/a Lewyckyj-taglia- Felton Eye Clinics Optometrist Medicare: Medicare Enrolled Practice Location: 2101 Burlington Beach Rd, Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 | |
Northwest Indiana Eye & Laser Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 |