Jerry D Warthman, O.D., Llc

LBN: Jerry D Warthman, O.D., Llc
Jerry D Warthman, O.D., Llc is an health care organization with primary practice located at 1923 W 53Rd St , Anderson IN 46013-1109. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jerry D Warthman, O.D., Llc can be contacted via phone (765) 644-0060, or through Warthman, Jerry Dale via phone (765) 644-0060.

Contact Information

Primary practice address
1923 W 53Rd St Anderson IN 46013-1109
Phone: (765) 644-0060
Fax: (765) 644-0076
Website:
Map and Directions
Authorized official contact:
Name: Warthman, Jerry Dale Doctor of Optometry (OD)
Phone: (765) 644-0060

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002286A Indiana

Profile Details

NPI number 1053577510
LBN Legal business name Jerry D Warthman, O.D., Llc
DBA Doing business as
Authorized official Warthman, Jerry Dale Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2008
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053577510 NPPES
Indiana MEDICAID 100331000B
Indiana MEDICAID 200953040

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