Nicholas E Bantz, OD | |
13840 E 96th St, Mccordsville, IN 46055-9394 | |
(317) 720-2020 | |
(317) 886-7955 |
Full Name | Nicholas E Bantz |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 13840 E 96th St, Mccordsville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063254829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004499A (Indiana) | Primary |
Provider Name | Visionquest Eyecare Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013015429 PECOS PAC ID: 7517951353 Enrollment ID: O20040413001602 |
Provider Name | First Impressions Optometric Associates, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083366363 PECOS PAC ID: 6800281825 Enrollment ID: O20220309002226 |
Mailing Address | Practice Location Address |
---|---|
Nicholas E Bantz, OD 2887 S State Road 135, Greenwood, IN 46143-9604 Ph: (317) 865-6829 | Nicholas E Bantz, OD 13840 E 96th St, Mccordsville, IN 46055-9394 Ph: (317) 720-2020 |
Terry N Null, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13840 E 96th St, Mccordsville, IN 46055 Phone: 317-720-2020 Fax: 317-458-1594 | |
Dr. Rae A Winters, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13840 E 96th St, Mccordsville, IN 46055 Phone: 317-720-2020 Fax: 317-458-1594 | |
Mccolley Eyecare Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 5813 Main St, Mccordsville, IN 46055 Phone: 317-462-6601 |