| Aeg Indiana Professional Pc | |
|
2250 N Pointe Dr, Warsaw, IN 46582-9042 | |
| (574) 267-3515 | |
| (314) 741-4947 |
| Full Name | Aeg Indiana Professional Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2250 N Pointe Dr, Warsaw, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043944127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (NU) | Primary |
| Provider Name | Michael D Matthews |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821077207 PECOS PAC ID: 4587603881 Enrollment ID: I20050426001483 |
| Provider Name | Darla J Heck Sacopulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124139787 PECOS PAC ID: 8527009786 Enrollment ID: I20050518000239 |
| Provider Name | Valerie Renee Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154489177 PECOS PAC ID: 0446286223 Enrollment ID: I20050713000233 |
| Provider Name | Jennifer Dawn Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750494886 PECOS PAC ID: 7416962170 Enrollment ID: I20060216000282 |
| Provider Name | Todd J Fettig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326074931 PECOS PAC ID: 0345258950 Enrollment ID: I20060323000366 |
| Provider Name | Scott J Caughell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982634606 PECOS PAC ID: 1456350719 Enrollment ID: I20061214000053 |
| Provider Name | Tabitha G Temple |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710971924 PECOS PAC ID: 1355341728 Enrollment ID: I20070109000182 |
| Provider Name | Samantha Hornberger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528018199 PECOS PAC ID: 1850496621 Enrollment ID: I20070424000189 |
| Provider Name | Kara L Laughlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073535373 PECOS PAC ID: 9335204296 Enrollment ID: I20090210000549 |
| Provider Name | Kimberly D Forniss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720036668 PECOS PAC ID: 7012060734 Enrollment ID: I20090812000447 |
| Provider Name | Carrie A Huntington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750475604 PECOS PAC ID: 8729132261 Enrollment ID: I20090818000250 |
| Provider Name | Kelsey K Bell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215249719 PECOS PAC ID: 5799819587 Enrollment ID: I20100816000637 |
| Provider Name | Rebekah E Todd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235161035 PECOS PAC ID: 2163426479 Enrollment ID: I20100826000526 |
| Provider Name | Christopher Wehrle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518961994 PECOS PAC ID: 8022156884 Enrollment ID: I20101021000791 |
| Provider Name | Christopher M Kerby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124335138 PECOS PAC ID: 9335333798 Enrollment ID: I20101029000252 |
| Provider Name | John P Czaja |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679883912 PECOS PAC ID: 3779777552 Enrollment ID: I20101105000460 |
| Provider Name | Michael Anthony Colarusso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184788085 PECOS PAC ID: 1557556099 Enrollment ID: I20101110000963 |
| Provider Name | Christine A Singson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689678062 PECOS PAC ID: 9931396041 Enrollment ID: I20101214001299 |
| Provider Name | Stuart H Shake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982663589 PECOS PAC ID: 2163600073 Enrollment ID: I20110623000729 |
| Provider Name | Kevin Reckley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295705218 PECOS PAC ID: 4688794175 Enrollment ID: I20111209000006 |
| Provider Name | Andrew Burkhart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326106733 PECOS PAC ID: 1850591371 Enrollment ID: I20120125000702 |
| Provider Name | John M Deboer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770566556 PECOS PAC ID: 0840229902 Enrollment ID: I20120201000663 |
| Provider Name | Brant T Molenaar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942307053 PECOS PAC ID: 9638362379 Enrollment ID: I20150211000187 |
| Provider Name | Karen J Norrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770518102 PECOS PAC ID: 1254312390 Enrollment ID: I20150514000335 |
| Provider Name | Brandon D Callow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639522642 PECOS PAC ID: 2365736048 Enrollment ID: I20160803000551 |
| Provider Name | Christopher Scott Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710361159 PECOS PAC ID: 0840505459 Enrollment ID: I20161107001816 |
| Provider Name | Jessica R Kieninger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174975932 PECOS PAC ID: 5294095824 Enrollment ID: I20180130002431 |
| Provider Name | Kasey Stolle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215420294 PECOS PAC ID: 0042565533 Enrollment ID: I20180625002813 |
| Provider Name | Miccah Allyson Hoffman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649316126 PECOS PAC ID: 2466790258 Enrollment ID: I20190221001394 |
| Provider Name | Jonathan Vangessel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497315329 PECOS PAC ID: 0941535850 Enrollment ID: I20190715003554 |
| Provider Name | Samantha Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033763016 PECOS PAC ID: 3678800729 Enrollment ID: I20190812003048 |
| Provider Name | Marty S Traylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336108927 PECOS PAC ID: 5294627410 Enrollment ID: I20200430002330 |
| Provider Name | Taylor Lynne Spangle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740858406 PECOS PAC ID: 3870993454 Enrollment ID: I20210618001145 |
| Provider Name | Madeline Hobbie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528632866 PECOS PAC ID: 5496157562 Enrollment ID: I20210712003482 |
| Provider Name | Karlie Blain Hoelscher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669103032 PECOS PAC ID: 2860872090 Enrollment ID: I20220706002565 |
| Provider Name | Devyn Larue Hayes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578241998 PECOS PAC ID: 7416317805 Enrollment ID: I20230717003124 |
| Provider Name | Allyson Noelle Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770861411 PECOS PAC ID: 7618324336 Enrollment ID: I20231116002713 |
| Provider Name | Kaitlin B Nesty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023888088 PECOS PAC ID: 3476905142 Enrollment ID: I20240118000660 |
| Provider Name | Faisal Rasooli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821831454 PECOS PAC ID: 7214473404 Enrollment ID: I20240724001404 |
| Provider Name | Andrea J Yahraus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720584949 PECOS PAC ID: 6406111954 Enrollment ID: I20240808000554 |
| Provider Name | Steven H Shake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922068386 PECOS PAC ID: 2668363581 Enrollment ID: I20240808002431 |
| Provider Name | Nicholas J Carlson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346081577 PECOS PAC ID: 7618418872 Enrollment ID: I20240916002781 |
| Provider Name | Katrina Fesko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285048231 PECOS PAC ID: 2668964693 Enrollment ID: I20251126000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Aeg Indiana Professional Pc 111 E 4th St Ste 440, Alton, IL 62002-6241 Ph: (618) 462-9818 | Aeg Indiana Professional Pc 2250 N Pointe Dr, Warsaw, IN 46582-9042 Ph: (574) 267-3515 |
Dennis R Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2251 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-2777 Fax: 574-371-4697 |
Dr. Rebekah Elizabeth Todd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2250 N Pointe Dr, Warsaw, IN 46582 Phone: 574-267-3515 Fax: 574-267-3259 |
Charles H Cole Od & Associates Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2934 Frontage Rd, Warsaw, IN 46580 Phone: 574-269-5558 Fax: 574-269-3088 |
Joseph M. Thallemer, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3301 E Center Street Ext, Warsaw, IN 46582 Phone: 574-269-3828 Fax: 574-269-3848 |
Ann U Madden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2251 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-2777 Fax: 574-371-4697 |
Midwest Eye Consultants - Warsaw Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Capital Dr, Warsaw, IN 46582 Phone: 574-269-1331 Fax: 574-269-6210 |
Eye To Eye Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2932 Frontage Rd, Warsaw, IN 46580 Phone: 815-735-8559 |