Individual
DR. ANTHONY JOSEPH GUADAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
306 E US HIGHWAY 30, SCHERERVILLE, IN 46375-2654
(219) 864-1300
Mailing address
306 E US HIGHWAY 30, SCHERERVILLE, IN 46375-2654
(219) 864-1300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002630A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249419
ANTHEM/BCBS - ALL PLANS
IN
05
—
200495500A
—
IN
01
—
24929
SPECTERA
IN
01
—
9379793
PHCS
IN
01
—
GU010275
CLARITY VISION
IN
01
—
IN2630
EYEMED
IN
Enumeration date
10/16/2006
Last updated
02/04/2013
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