Organization
PHILLIP G KOULTOURIDES, O.D. P.C.
Active
Other names
Schererville Eyecare & Contact Lens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP KOULTOURIDES (PRESIDENT)
(219) 670-6589
Entity
Organization
Contact information
Practice address
210 INDIANAPOLIS BLVD, SUITE B, SCHERERVILLE, IN 46375
(219) 322-3819
Mailing address
9140 DRAKE DR, SAINT JOHN, IN 46373
(219) 670-6589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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