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A&K KOUKLAKIS OD. P.C. NPI 1235252396


NPI Information

NPI: 1235252396
Provider Name: A&K KOUKLAKIS OD. P.C.

Doing Business As: VISION QUEST EYE CLINICS

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2294 W LINCOLN HWY
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 756-1700
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A&K KOUKLAKIS OD. P.C. is an eyewear supplier in Merrillville, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. A&K KOUKLAKIS OD. P.C. NPI is 1235252396. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vision Quest Eye Clinics.

The provider's business location address is:

2294 W LINCOLN HWY
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 756-1700
Fax: (219) 756-8718

The provider's authorized official is Alexander Haridimos Kouklakis .
The authorized official title is President and has the following contact phone number (219) 756-1700.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 7/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1708660MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2100215150AMEDICAIDINDIANA
30804610001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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