| Mrs Brittany Rae Disterheft, OD | |
|
13115 Wicker Ave Ste E, Cedar Lake, IN 46303-7400 | |
| (219) 374-7800 | |
| (219) 374-5196 |
| Full Name | Mrs Brittany Rae Disterheft |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 8 Years |
| Location | 13115 Wicker Ave Ste E, Cedar Lake, 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 |
|---|---|---|---|
| 1760906135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18004052A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illiana Eyecare Inc | 9133223373 | 2 |
| Provider Name | Holicki Eye Centers, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811980386 PECOS PAC ID: 3476533324 Enrollment ID: O20050901000212 |
| Provider Name | Illiana Eyecare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215040142 PECOS PAC ID: 9133223373 Enrollment ID: O20070328000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brittany Rae Disterheft, OD 2023 Dorchester Ln Unit 1, Schererville, IN 46375-2640 Ph: () - | Mrs Brittany Rae Disterheft, OD 13115 Wicker Ave Ste E, Cedar Lake, IN 46303-7400 Ph: (219) 374-7800 |
Kossis Eyecare Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9849 Lincoln Plaza Way, Cedar Lake, IN 46303 Phone: 216-789-9066 | |
Illiana Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 13115 Wicker Avenue, Suite E, Cedar Lake, IN 46303 Phone: 219-374-7800 | |
Dr. Kaitlyn Renae Gibson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13115 Wicker Ave Ste E, Cedar Lake, IN 46303 Phone: 219-374-7800 Fax: 219-374-5196 |