| Audrey Simone Dawson, OD | |
|
6050 Sterling Creek Rd, Portage, IN 46368-7752 | |
| (219) 763-8112 | |
| (219) 764-5380 |
| Full Name | Audrey Simone Dawson |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 10 Years |
| Location | 6050 Sterling Creek Rd, Portage, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053889915 | NPI | - | NPPES |
| 191360037 | Other | IN | MEDICARE PTAN |
| 300021049 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18004139A (Indiana) | Primary |
| Provider Name | Dennis Ray Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003819442 PECOS PAC ID: 1052333630 Enrollment ID: I20090522000307 |
| Provider Name | Northshore Health Centers Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Simone Dawson, OD Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Audrey Simone Dawson, OD 6050 Sterling Creek Rd, Portage, IN 46368-7752 Ph: (219) 763-8112 |
Ira Gail Altaras, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 6097 Us Highway 6, Portage, IN 46368 Phone: 703-847-8899 | |
Veronica Camarillo Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 6050 Us Highway 6, Portage, IN 46368 Phone: 219-762-7862 | |
Dr. Rebecca A. Long, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6097 Us Highway 6, Portage, IN 46368 Phone: 219-763-1538 | |
Dr. Kim P Cory, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6509 Central Ave, Portage, IN 46368 Phone: 219-762-4801 Fax: 219-764-9974 | |
Mr. Ronald William Szabo, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3151 Willowcreek Rd, Portage, IN 46368 Phone: 219-762-2111 Fax: 219-763-7899 | |
Dr. Simona Maria Toader, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 |