| Louisville Optometric Centers, Iii Psc | |
|
600 S Main St, Salem, IN 47167-1040 | |
| (812) 883-2700 | |
| (812) 883-2752 |
| Full Name | Louisville Optometric Centers, Iii Psc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 600 S Main St, Salem, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568537728 | NPI | - | NPPES |
| 200502740A | Medicaid | IN | |
| MANAGED HEALTH | Medicaid | IN | |
| N300116 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 200502740A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Optometric Centers, Iii Psc 600 S Main St, Salem, IN 47167-1040 Ph: (812) 883-2700 | Louisville Optometric Centers, Iii Psc 600 S Main St, Salem, IN 47167-1040 Ph: (812) 883-2700 |
Jack T Hedrick, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Salem, IN 47167 Phone: 812-883-2700 Fax: 812-883-2752 | |
Olivia S. Walker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 S Main St, Salem, IN 47167 Phone: 812-883-2700 Fax: 812-883-2752 |