Individual
DR. JOHN PETER CZAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8100 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-6215
(219) 769-2020
(219) 756-8937
Mailing address
8100 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-6215
(219) 769-2020
(219) 756-8937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002875A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200866690A
—
IN
Enumeration date
10/20/2010
Last updated
10/20/2010
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