| Dr Emily Brooke Brandstatter, OD | |
|
2500 E Market St, Logansport, IN 46947 | |
| (574) 722-5252 | |
| (574) 722-3202 |
| Full Name | Dr Emily Brooke Brandstatter |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2500 E Market St, Logansport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215955505 | NPI | - | NPPES |
| 200857700 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003423A (Indiana) | Primary |
| Provider Name | Midwest Eye Consultants Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912960535 PECOS PAC ID: 2961399217 Enrollment ID: O20040302000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emily Brooke Brandstatter, OD Po Box 549, Wabash, IN 46992-0549 Ph: (260) 569-9550 | Dr Emily Brooke Brandstatter, OD 2500 E Market St, Logansport, IN 46947 Ph: (574) 722-5252 |
Dr. Gregory S Densborn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 824 E Broadway, Logansport, IN 46947 Phone: 574-737-8313 Fax: 574-735-2130 | |
Kelsey Schlegelmilch, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 333 Mall Rd, Logansport, IN 46947 Phone: 574-722-1797 | |
Karisa Ann Hall, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 444 Mall Rd, Logansport, IN 46947 Phone: 574-722-3937 | |
Kenneth E Lawrence, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 216 E Market St, Logansport, IN 46947 Phone: 574-753-2559 Fax: 574-722-4926 | |
Dr. William R Fawcett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 E Market St, Logansport, IN 46947 Phone: 574-753-3583 Fax: 574-722-2364 | |
Midwest Eye Consultants, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2500 E Market St, Logansport, IN 46947 Phone: 574-753-3583 Fax: 765-722-2364 |