Vision Boutique | |
8319 Wicker Ave, Saint John, IN 46373-8879 | |
(219) 228-1776 | |
(219) 558-0672 |
Full Name | Vision Boutique |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 8319 Wicker Ave, Saint John, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699250548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Neil Boldus |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992823462 PECOS PAC ID: 9537255922 Enrollment ID: I20221220002106 |
Provider Name | Helen Tzanetakos |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083866354 PECOS PAC ID: 2264695527 Enrollment ID: I20230510000368 |
Provider Name | Katarina Ivanovic |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861272916 PECOS PAC ID: 6002267499 Enrollment ID: I20240110002417 |
Mailing Address | Practice Location Address |
---|---|
Vision Boutique 8319 Wicker Ave, Saint John, IN 46373-8879 Ph: (219) 228-1776 | Vision Boutique 8319 Wicker Ave, Saint John, IN 46373-8879 Ph: (219) 228-1776 |
Metropolitan Eyecare Center Of St. John Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9488 Wicker Ave # A, Saint John, IN 46373 Phone: 219-365-7200 Fax: 219-365-7207 | |
Dr. Valerie Renee Anderson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9270 Wicker Ave, Suite A, Saint John, IN 46373 Phone: 219-365-1227 Fax: 219-365-1552 | |
Focus Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8025 Wicker Ave Ste H, Saint John, IN 46373 Phone: 219-558-0020 |