A&k Kouklakis Od P.c. is a
Eyewear Supplier based in Gary, Indiana. A&k Kouklakis Od P.c. is licensed to practice in * (Not Available) (license number ) and their current practice location is
521 Broadway, Gary, Indiana. It can be reached at their office (for appointments etc.) via phone at
(219) 882-9397.
NPI number for A&k Kouklakis Od P.c. is 1295858371 and their current mailing address is 521 Broadway, Gary, Indiana. A&k Kouklakis Od P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1295858371.
Healthcare Provider's Profile
| Full Name | A&k Kouklakis Od P.c. |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 521 Broadway, Gary, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295858371
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 11/05/2010
Medical Identifiers
Medical identifiers for A&k Kouklakis Od P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295858371 | NPI | - | NPPES |
| 100215150C | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. A&k Kouklakis Od P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
A&k Kouklakis Od P.c.
521 Broadway,
Gary, IN 46402-1910
Ph: (219) 882-9397 | A&k Kouklakis Od P.c.
521 Broadway,
Gary, IN 46402-1910
Ph: (219) 882-9397 |
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