| Dr Sandra Whiteley, OD | |
| 
					303 E Main St, Lowell, IN 46356-1711  | |
| (219) 696-7191 | |
| (219) 696-8551 | 
| Full Name | Dr Sandra Whiteley | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 303 E Main St, Lowell, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720136435 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 18002411B (Indiana) | Primary | 
| Provider Name | Vep Il Optometric Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1528536620 PECOS PAC ID: 3678814217 Enrollment ID: O20190409002694  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Sandra Whiteley, OD 303 E Main St, Lowell, IN 46356-1711 Ph: (219) 696-7191  | Dr Sandra Whiteley, OD 303 E Main St, Lowell, IN 46356-1711 Ph: (219) 696-7191  | 
Feitz Eye Clinic Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 417 E Commercial Ave, Lowell, IN 46356 Phone: 219-696-2205 Fax: 219-696-2205  | |
Jennifer Lynn Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 117 Deanna Dr, Lowell, IN 46356 Phone: 219-696-8077 Fax: 219-696-3570  | |
Dr. Kevin Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 313 E Commercial Ave, Lowell, IN 46356 Phone: 410-271-6747 Fax: 410-271-6747  | |
Brand New Day, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 313 E Commercial Ave Unit C, Lowell, IN 46356 Phone: 410-271-6747  | |
Dr. Ellyn Elaine Feitz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 417 E Commercial Ave, Lowell, IN 46356 Phone: 219-696-3000 Fax: 219-696-2205  |