| A&k Kouklakis Od. P.c. | |
|
2294 W Lincoln Hwy, Merrillville, IN 46410 | |
| (219) 756-1700 | |
| (219) 756-8718 |
| Full Name | A&k Kouklakis Od. P.c. |
|---|---|
| Type | Facility |
| Speciality | Eyewear Supplier |
| Location | 2294 W Lincoln Hwy, Merrillville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235252396 | NPI | - | NPPES |
| 100215150A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
| Provider Name | Veronica M Camarillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477657419 PECOS PAC ID: 5991785685 Enrollment ID: I20040722001211 |
| Provider Name | Ronald Fary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134108566 PECOS PAC ID: 9436153731 Enrollment ID: I20060829000080 |
| Provider Name | Lisa J Saks-knestrict |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043380181 PECOS PAC ID: 9234328907 Enrollment ID: I20110111000695 |
| Provider Name | Alexander H Kouklakis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851460299 PECOS PAC ID: 9335046945 Enrollment ID: I20110111000814 |
| Provider Name | Caterina A Komyatte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508833831 PECOS PAC ID: 8820240096 Enrollment ID: I20121214000438 |
| Provider Name | Steven M Sorenson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437507068 PECOS PAC ID: 5496045908 Enrollment ID: I20160610001568 |
| Provider Name | Stephan G Kossis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962859512 PECOS PAC ID: 9739470063 Enrollment ID: I20160616002045 |
| Provider Name | Suzanna E Acosta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871006338 PECOS PAC ID: 4486910940 Enrollment ID: I20171116000271 |
| Provider Name | Jason Andrew Mcburnie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477105989 PECOS PAC ID: 0042548687 Enrollment ID: I20210201002639 |
| Provider Name | Sydney R Jenkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912741513 PECOS PAC ID: 3577009190 Enrollment ID: I20240719000152 |
| Mailing Address | Practice Location Address |
|---|---|
| A&k Kouklakis Od. P.c. 2294 W Lincoln Hwy, Merrillville, IN 46410 Ph: (219) 756-1700 | A&k Kouklakis Od. P.c. 2294 W Lincoln Hwy, Merrillville, IN 46410 Ph: (219) 756-1700 |