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
851 EASTPORT CENTRE DR, VALPARAISO, IN 46383-2909
(219) 464-8223
(219) 531-2356
Mailing address
851 EASTPORT CENTRE DR, VALPARAISO, IN 46383-2909
(219) 464-8223
(219) 531-2356
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200343240A
—
IN
Enumeration date
11/17/2006
Last updated
11/20/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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