Individual
JOSEPH GERARD WESTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
513 NORTH LINE ST, COLUMBIA CITY, IN 46725-0187
(260) 244-7542
(260) 244-4638
Mailing address
PO BOX 187, COLUMBIA CITY, IN 46725-0187
(260) 244-7542
(260) 244-4638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002764A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000631685
BCBS
IN
01
—
410049051
RAILROAD MEDICARE
IN
01
—
5213022
AETNA
IN
Enumeration date
06/29/2005
Last updated
10/18/2010
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