| Whitewater Eye Centers Llc | |
|
1900 Chester Blvd, Richmond, IN 47374-1213 | |
| (765) 962-2020 | |
| (765) 966-2975 |
| Full Name | Whitewater Eye Centers Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1900 Chester Blvd, Richmond, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962635052 | NPI | - | NPPES |
| 3020671 | Medicaid | OH | |
| 200962480C | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Timothy J Beatty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619954294 PECOS PAC ID: 9830189752 Enrollment ID: I20040513000899 |
| Provider Name | Michael S Bloom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639128689 PECOS PAC ID: 2062483837 Enrollment ID: I20040804001160 |
| Provider Name | Hui Bae H Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801874599 PECOS PAC ID: 6507833589 Enrollment ID: I20070831000007 |
| Provider Name | Bryan C Hainline |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073711966 PECOS PAC ID: 8921190968 Enrollment ID: I20080624000082 |
| Provider Name | Elise L Beatty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942287511 PECOS PAC ID: 6406824531 Enrollment ID: I20090827000526 |
| Provider Name | Judy D Risch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568449155 PECOS PAC ID: 3173661444 Enrollment ID: I20091109000100 |
| Provider Name | Kevin T Scripture |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700869179 PECOS PAC ID: 7810982287 Enrollment ID: I20091109000206 |
| Provider Name | Emilie J Jennings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821352832 PECOS PAC ID: 1456501162 Enrollment ID: I20121015000398 |
| Provider Name | Joseph L Moriarity |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598322844 PECOS PAC ID: 5597099879 Enrollment ID: I20190619002847 |
| Provider Name | Brianna D Niehoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154981850 PECOS PAC ID: 3375878879 Enrollment ID: I20190703002617 |
| Provider Name | Eric Daniel Scripture |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013367119 PECOS PAC ID: 1052602976 Enrollment ID: I20200710003167 |
| Provider Name | Kristen S Gracia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104543347 PECOS PAC ID: 7719355155 Enrollment ID: I20221116001690 |
| Provider Name | Keegan Brady Mechels |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821558420 PECOS PAC ID: 8426489261 Enrollment ID: I20230522003037 |
| Provider Name | Molly D Scripture |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831651488 PECOS PAC ID: 8224361324 Enrollment ID: I20230724000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitewater Eye Centers Llc Po Box 399, Richmond, IN 47375-0399 Ph: (765) 962-2020 | Whitewater Eye Centers Llc 1900 Chester Blvd, Richmond, IN 47374-1213 Ph: (765) 962-2020 |