Individual
DR. GARY WAYNE SCEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
449 E SUMMIT ST, CROWN POINT, IN 46307-3539
(219) 662-1600
(219) 662-2760
Mailing address
449 E SUMMIT ST, CROWN POINT, IN 46307-3539
(219) 662-1600
(219) 662-2760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001881B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084509
ANTHEM
IN
05
—
100158610A
—
IN
Enumeration date
11/28/2005
Last updated
05/06/2011
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