Individual
DR. REBEKAH ELIZABETH TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2250 N POINTE DR, WARSAW, IN 46582-9042
(574) 267-3515
(574) 267-3259
Mailing address
2250 N POINTE DR, WARSAW, IN 46582-9042
(574) 267-3515
(574) 267-3259
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.009867
IL
152W00000X
Optometrist
Primary
18003626A
IN
152W00000X
Optometrist
1800DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000672073
BCBS
IN
01
—
000000672073
BCBS
—
05
—
200989490
—
IN
05
—
7100125250
—
KY
Enumeration date
07/06/2006
Last updated
03/07/2023
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