| University Eye Institute Pc | |
|
2720 169th St, Hammond, IN 46323-1508 | |
| (219) 845-2020 | |
| (219) 845-2012 |
| Full Name | University Eye Institute Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2720 169th St, Hammond, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558596247 | NPI | - | NPPES |
| 046009678 | Medicaid | IL | |
| 200962790 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003569A (Indiana) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Grishma P Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164622874 PECOS PAC ID: 7719944974 Enrollment ID: I20091216000320 |
| Provider Name | Bianca P Surti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275015349 PECOS PAC ID: 9436574472 Enrollment ID: I20200903003635 |
| Mailing Address | Practice Location Address |
|---|---|
| University Eye Institute Pc 2720 169th St, Hammond, IN 46323-1508 Ph: (219) 845-2020 | University Eye Institute Pc 2720 169th St, Hammond, IN 46323-1508 Ph: (219) 845-2020 |
Dr. Ronald Dennis Stanis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 608 165th St, Hammond, IN 46324 Phone: 219-933-0631 Fax: 219-933-0631 | |
Dr. Jason Mcburnie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1229 165th St, Hammond, IN 46320 Phone: 219-931-8733 | |
Ronald Fary Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6608 Kansas Ave, Hammond, IN 46323 Phone: 219-743-3309 | |
Dr. Sontkileo K Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 5th Ave, Hammond, IN 46320 Phone: 219-370-5007 Fax: 219-370-5003 |