# LASIK HOME HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770963605
- **Authorized official:** AMANDA PETERS (AGENCY ADMINISTRATOR)
- **Authorized official phone:** (847) 418-0739

## Contact information

- **Practice address:** 9723 PRAIRE AVENUE, HIGHLAND, IN 46322-2606
- **Practice address phone:** (219) 513-8201
- **Practice address fax:** (219) 513-9512
- **Mailing address:** 9723 PRAIRE AVENUE, HIGHLAND, IN 46322-2606
- **Mailing address phone:** (219) 513-8201
- **Mailing address fax:** (219) 513-9512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 15-013717-1 | IN | Yes |

## Other

- **Enumeration date:** 06/05/2015
- **Last updated:** 02/23/2023