Individual
DR. TARA LYNN SVATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13197 STATE ROAD 23, GRANGER, IN 46530
(574) 247-1500
(574) 247-1505
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002580
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277906
ANTHEM BCBS
IN
05
—
100093180
—
IN
01
—
410049816
MEDICARE RAILROAD
IN
01
—
4777440001
DME MAC
IN
01
—
P01598940
RAILROAD MEDICARE
IN
Enumeration date
07/05/2005
Last updated
08/15/2018
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