Vision Quest Eye Clinics
LBN: A&K Kouklakis Od P.C.
Vision Quest Eye Clinics is an health care organization with primary practice located at 521 Broadway , Gary IN 46402-1910. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
A&K Kouklakis Od P.C. can be contacted via phone (219) 882-9397, or through Kouklakis, Alexander Haridimos via phone (219) 756-1700.
Contact Information
Primary practice address
521 Broadway
Gary IN 46402-1910
Phone: (219) 882-9397
Fax: (219) 882-9649
Website:
Authorized official contact:
Name: Kouklakis, Alexander Haridimos Doctor of Optometry (OD)
Phone: (219) 756-1700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1295858371 |
|---|---|
| LBN Legal business name | A&K Kouklakis Od P.C. |
| DBA Doing business as | Vision Quest Eye Clinics |
| Authorized official | Kouklakis, Alexander Haridimos Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Nov 5th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295858371 | NPPES |
| Indiana | MEDICAID | 100215150C |
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