| Loogootee Eye Center Pc | |
|
109 W Main St, Loogootee, IN 47553-1506 | |
| (812) 295-3163 | |
| (812) 901-6627 |
| Full Name | Loogootee Eye Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 109 W Main St, Loogootee, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225621071 | NPI | - | NPPES |
| 200069410 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Michael Alvarez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326047820 PECOS PAC ID: 0648232496 Enrollment ID: I20041104000659 |
| Mailing Address | Practice Location Address |
|---|---|
| Loogootee Eye Center Pc 403 Walker St, Loogootee, IN 47553-1424 Ph: (260) 415-0267 | Loogootee Eye Center Pc 109 W Main St, Loogootee, IN 47553-1506 Ph: (812) 295-3163 |
Alvarez Vision Services Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Loogootee, IN 47553 Phone: 812-295-3163 Fax: 812-901-6627 | |
Dr. Michael Manuel Alvarez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 Walker St, Loogootee, IN 47553 Phone: 812-295-3163 Fax: 812-901-6627 | |
Rick D Bauer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Loogootee, IN 47553 Phone: 812-295-3163 Fax: 812-295-2356 |