| Stanley N. Blackman, O.d., P.c. | |
| 
					2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765  | |
| (219) 462-5501 | |
| (219) 462-3238 | 
| Full Name | Stanley N. Blackman, O.d., P.c. | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 2009 Roosevelt Rd, Valparaiso, Indiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134312531 | NPI | - | NPPES | 
| 1518931310 | Other | IN | NPI INDIVIDUAL | 
| 000000084617 | Other | IN | ANTHEM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 18001528B (Indiana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stanley N. Blackman, O.d., P.c. 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765 Ph: (219) 462-5501  | Stanley N. Blackman, O.d., P.c. 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765 Ph: (219) 462-5501  | 
Dr. Richard Scott Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 Eastport Centre Dr, 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  | |
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  | |
Northwest Indiana Eye Associates, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2101 Burlington Beach Rd, Valparaiso, IN 46383 Phone: 219-462-0309 Fax: 219-464-4291  | |
Northwest Indiana Eye & Laser Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 851 Eastport Centre Dr, Valparaiso, IN 46383 Phone: 219-464-8223 Fax: 219-531-2356  |