| Dr Bradley S Camp, OD | |
|
103 N Front St, North Manchester, IN 46962-1529 | |
| (260) 982-8798 | |
| (260) 982-1822 |
| Full Name | Dr Bradley S Camp |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 103 N Front St, North Manchester, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790786093 | NPI | - | NPPES |
| IN1838 | Other | IN | EYEMED VISION CARE |
| 100105320A | Medicaid | IN | |
| 000000288123 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18001838 (Indiana) | Primary |
| Provider Name | Manchester Eyecare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780241547 PECOS PAC ID: 8628302742 Enrollment ID: O20190624002920 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley S Camp, OD 103 Front St, Po Box 333, North Manchester, IN 46962-1529 Ph: (260) 982-8798 | Dr Bradley S Camp, OD 103 N Front St, North Manchester, IN 46962-1529 Ph: (260) 982-8798 |
Midwest Eye Consultants, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1201 State Road 114 E, North Manchester, IN 46962 Phone: 260-982-8681 Fax: 260-982-2912 | |
Dr. Nathan D Trump, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 State Road 114 E, North Manchester, IN 46962 Phone: 260-982-8681 Fax: 260-982-2912 | |
Manchester Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 901 State Road 114 W, North Manchester, IN 46962 Phone: 260-306-3937 Fax: 260-982-1822 |