| Insight Of The Wabash | |
|
120 Main St Vincennes IN 47591-1234 | |
| (812) 255-3003 | |
| (812) 255-5449 |
| Full Name | Insight Of The Wabash |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Main St, Vincennes, Indiana |
| Authorized Official Name and Position | Cheryl A Mccormick (OWNER/PRESIDENT) |
| Authorized Official Contact | 8122553003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Of The Wabash 120 Main St Po Box 963 Vincennes IN 47591-1234 Ph: (812) 255-3003 | Insight Of The Wabash 120 Main St Vincennes IN 47591-1234 Ph: (812) 255-3003 |
| NPI Number | 1518198803 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 03/10/2010 |
| Medicare PECOS PAC ID | 0446304042 |
|---|---|
| Medicare Enrollment ID | O20090817000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518198803 | NPI | - | NPPES |
| 1902833049 | Medicaid | IN | |
| 200965440 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18001820A (Indiana) | Primary |
| Provider Name | Cheryl A Mccormick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902833049 PECOS PAC ID: 5092869693 Enrollment ID: I20090817000484 |
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