| Ethan James, OD | |
|
4020 Edison Lakes Pkwy, Mishawaka, IN 46545-3420 | |
| (574) 271-1114 | |
| Not Available |
| Full Name | Ethan James |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 1 Years |
| Location | 4020 Edison Lakes Pkwy, Mishawaka, 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 |
|---|---|---|---|
| 1760226757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18004511A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Eye Consultants Pc | 2961399217 | 66 |
| 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 |
|---|---|
| Ethan James, OD 1441 E Cherry St, Vermillion, SD 57069-2602 Ph: () - | Ethan James, OD 4020 Edison Lakes Pkwy, Mishawaka, IN 46545-3420 Ph: (574) 271-1114 |
Stephanie Marie Baxter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Jini Varughese John, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 | |
Dr. Jonathan Edward Kintner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Lincoln Way E, Mishawaka, IN 46544 Phone: 574-255-3188 Fax: 574-255-4182 | |
Dr. Jayson Paul Ferd Burden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 517 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-1231 | |
Dr. Jeffrey A. Coppes, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6502 Grape Road, Suite 898, Mishawaka, IN 46545 Phone: 574-277-7723 Fax: 574-277-9698 | |
Shannan Elizabeth Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Dr. Andrew R Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 |