| |
1164 S 17th Street, Kokomo, IN 46902-1901 | |
(765) 457-5384 | |
(317) 924-3741 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1164 S 17th Street, Kokomo, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912996091 | NPI | - | NPPES |
100136700A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 01022315 (Indiana) | Secondary |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2839 Lafayette Road, Indianapolis, IN 46222-2147 Ph: (317) 924-1300 | 1164 S 17th Street, Kokomo, IN 46902-1901 Ph: (765) 457-5384 |
Dr. Raymond A. Hopper, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1419 S Reed Rd, Kokomo, IN 46902 Phone: 765-459-8182 Fax: 765-459-5550 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1415 S Reed Rd, Kokomo, IN 46902 Phone: 765-416-0570 | |
Dr. R. Michael Fewell, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3421 S Lafountain St, Suite A, Kokomo, IN 46902 Phone: 765-455-0404 Fax: 765-455-1765 |