| South Gibson Eyecare Associates, Llc | |
|
831 S 9th Ave, Haubstadt, IN 47639-8244 | |
| (812) 615-0277 | |
| Not Available |
| Full Name | South Gibson Eyecare Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 831 S 9th Ave, Haubstadt, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407123128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Indiana) | Primary |
| Provider Name | Jeffrey Darryl Irvin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013025683 PECOS PAC ID: 9931119468 Enrollment ID: I20060502000792 |
| Provider Name | James Clay Bigham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528053113 PECOS PAC ID: 3779562525 Enrollment ID: I20060502000834 |
| Provider Name | Heather R Russ |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770894222 PECOS PAC ID: 7214051028 Enrollment ID: I20100831000895 |
| Provider Name | Hannah M Powers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245750785 PECOS PAC ID: 6608146998 Enrollment ID: I20170719002057 |
| Provider Name | Caleb Hunter Chesnut |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356073662 PECOS PAC ID: 3072994482 Enrollment ID: I20220718000331 |
| Mailing Address | Practice Location Address |
|---|---|
| South Gibson Eyecare Associates, Llc 831 S 9th Ave, Haubstadt, IN 47639-8244 Ph: (812) 615-0277 | South Gibson Eyecare Associates, Llc 831 S 9th Ave, Haubstadt, IN 47639-8244 Ph: (812) 615-0277 |