| Northwest Indiana Eye & Laser Center Pc | |
|
502 Marquette St, Valparaiso, IN 46383-2509 | |
| (219) 464-8223 | |
| (219) 531-2356 |
| Full Name | Northwest Indiana Eye & Laser Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 502 Marquette St, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336212117 | NPI | - | NPPES |
| 200343240A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Gregory S Densborn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164451167 PECOS PAC ID: 6002719135 Enrollment ID: I20040128000266 |
| Provider Name | Richard S Carlson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073515938 PECOS PAC ID: 2769566322 Enrollment ID: I20080221000281 |
| Provider Name | Scott Allen Buck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801856943 PECOS PAC ID: 4789660937 Enrollment ID: I20080429000368 |
| Provider Name | Stephen R Buck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134235849 PECOS PAC ID: 0345226593 Enrollment ID: I20080429000485 |
| Provider Name | Ricky L Weidow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639177793 PECOS PAC ID: 8921022328 Enrollment ID: I20091223000119 |
| Provider Name | David F Ryser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528061363 PECOS PAC ID: 6507963329 Enrollment ID: I20100305000665 |
| Provider Name | Ellyn M Lovett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558468447 PECOS PAC ID: 6002214418 Enrollment ID: I20211014001764 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Indiana Eye & Laser Center Pc 502 Marquette St, Valparaiso, IN 46383-2509 Ph: (219) 464-8223 | Northwest Indiana Eye & Laser Center Pc 502 Marquette St, Valparaiso, IN 46383-2509 Ph: (219) 464-8223 |
Dr. Richard Scott Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 | |
Stephen R Buck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Marquette St, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356 | |
Stanley N. Blackman, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383 Phone: 219-462-5501 Fax: 219-462-3238 | |
Nikole T Schilling, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Burlington Beach Rd., Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 | |
Dr. Phillip George Koultourides, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2400 Morthland Dr, Valparaiso, IN 46383 Phone: 219-465-2788 Fax: 219-465-2785 | |
D/b/a Lewyckyj-taglia- Felton Eye Clinics Optometrist Medicare: Medicare Enrolled Practice Location: 2101 Burlington Beach Rd, Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291 |