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 1303 165Th Street , Hammond IN 46320. 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) 931-8733, or through Kouklakis, Alexander Haridimos via phone (219) 756-1700.

Contact Information

Primary practice address
1303 165Th Street Hammond IN 46320
Phone: (219) 931-8733
Fax: (219) 932-2964
Website:
Map and Directions
Authorized official contact:
Name: Kouklakis, Alexander Haridimos Doctor of Optometry (OD)
Phone: (219) 756-1700

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1851414379
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 9th, 2007
Last updated Jun 4th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851414379 NPPES
Indiana MEDICAID 100215150B

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