Organization
NORTHWEST INDIANA EYE & LASER CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A BUCK MD (PRESIDENT)
(219) 464-8223
Entity
Organization
Contact information
Practice address
1001 S EDGEWOOD DR, SUITE 5, KNOX, IN 46534-8269
(574) 772-2012
Mailing address
502 MARQUETTE ST, VALPARAISO, IN 46383-2509
(219) 464-8223
(219) 531-2356
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01048897A
IN
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
01/27/2010
Last updated
05/24/2021
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