| Dr Richard Scott Carlson, OD | |
|
851 Eastport Centre Dr, Valparaiso, IN 46383-2909 | |
| (219) 464-8223 | |
| (219) 531-2356 |
| Full Name | Dr Richard Scott Carlson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 23 Years |
| Location | 851 Eastport Centre Dr, Valparaiso, 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 |
|---|---|---|---|
| 1073515938 | NPI | - | NPPES |
| 01635025 | Other | IL | BCBS |
| P00082449 | Other | IL | MEDIARE RAILROAD |
| 000000549868 | Other | IN | ANTHEM BC.BS |
| 036059451 | Medicaid | IL | |
| 2151005 | Other | IL | FIRST HEALTH |
| 200883420 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009441 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Indiana Eye And Laser Center Pc | 5193701340 | 6 |
| Provider Name | Northwest Indiana Eye & Laser Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336212117 PECOS PAC ID: 5193701340 Enrollment ID: O20060111000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Scott Carlson, OD 502 Marquette St, Valparaiso, IN 46383-2509 Ph: (219) 464-8223 | Dr Richard Scott Carlson, OD 851 Eastport Centre Dr, Valparaiso, IN 46383-2909 Ph: (219) 464-8223 |
Stephen R Buck, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 | |
Stanley N. Blackman, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383 Phone: 219-462-5501 Fax: 219-462-3238 | |
Nikole T Schilling, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Burlington Beach Rd., Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 | |
Dr. Phillip George Koultourides, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2400 Morthland Dr, Valparaiso, IN 46383 Phone: 219-465-2788 Fax: 219-465-2785 | |
Northwest Indiana Eye Associates, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2101 Burlington Beach Rd, Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 | |
Northwest Indiana Eye & Laser Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 851 Eastport Centre Dr, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 |