| Calvin Boots, OD | |
|
2746 Old Us 20 W, Elkhart, IN 46514-1364 | |
| (574) 293-3545 | |
| Not Available |
| Full Name | Calvin Boots |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 6 Years |
| Location | 2746 Old Us 20 W, Elkhart, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619525458 | NPI | - | NPPES |
| 18004190A | Other | IN | INDIANA OPTOMETRY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18004190A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edina Eye Physicians And Surgeons Pa | 1355382698 | 23 |
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Provider Name | Edina Eye Physicians And Surgeons Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538264981 PECOS PAC ID: 1355382698 Enrollment ID: O20050518000059 |
| Provider Name | St. Croix Regional Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Boots, OD 5215 E 72nd St, Indianapolis, IN 46250-2519 Ph: (317) 383-6570 | Calvin Boots, OD 2746 Old Us 20 W, Elkhart, IN 46514-1364 Ph: (574) 293-3545 |
Michiana Eye Center , Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2216 Cassopolis St, Elkhart, IN 46514 Phone: 574-266-2111 Fax: 574-266-0555 | |
Myeyedr Optometry Of Indiana, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3701 S Main St, Elkhart, IN 46517 Phone: 574-875-8511 Fax: 574-875-8763 | |
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Luke Anthony Finke, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 206 Concord Mall Dr, Elkhart, IN 46517 Phone: 574-875-4499 Fax: 855-326-4293 | |
Dr. Jennifer Suzanne Wade, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 175 County Road 6 W, Elkhart, IN 46514 Phone: 574-266-7465 Fax: 574-266-7467 | |
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