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 4902 Indianapolis Blvd , East Chicago IN 46312-3605. 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). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
A&K Kouklakis Od P.C. can be contacted via phone (219) 398-2066, or through Kouklakis, Alexander Haridimos via phone (219) 756-1700.
Contact Information
Primary practice address
4902 Indianapolis Blvd
East Chicago IN 46312-3605
Phone: (219) 398-2066
Fax: (219) 398-2066
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 | 1700909884 |
|---|---|
| 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 3rd, 2010 - about 15 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 | 1700909884 | NPPES |
| Indiana | MEDICAID | 100215150D |
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