| Melissa Dawn Bourland, OD | |
|
1001 Main St Ste 1, Dyer, IN 46311-1200 | |
| (219) 322-7800 | |
| Not Available |
| Full Name | Melissa Dawn Bourland |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1001 Main St Ste 1, Dyer, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346766060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18004066A (Indiana) | Primary |
| Provider Name | Illiana Eyecare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215040142 PECOS PAC ID: 9133223373 Enrollment ID: O20070328000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Dawn Bourland, OD 115 Ivy Ln, Dyer, IN 46311-1348 Ph: (219) 381-7208 | Melissa Dawn Bourland, OD 1001 Main St Ste 1, Dyer, IN 46311-1200 Ph: (219) 322-7800 |
Veld Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14785 W 101st Ave Ste 104, Dyer, IN 46311 Phone: 708-672-3937 Fax: 708-672-3940 |
Katrina Fesko, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1216 Ballybunion Ct, Dyer, IN 46311 Phone: 219-552-5124 |
Dr. Andrew F Mansueto, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 942 Richard Rd, Dyer, IN 46311 Phone: 219-864-1430 |