Individual
DR. KATHRYN ANN SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1300 STATE ST, SUITE 1F, LA PORTE, IN 46350-3134
(219) 362-6297
(219) 324-3061
Mailing address
1300 STATE ST, SUITE 1F, LA PORTE, IN 46350-3134
(219) 362-6297
(219) 324-3061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002133A
IN
152W00000X
Optometrist
18002133B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000838950
ANTHEM BCBS
IN
05
—
100335610
—
IN
Enumeration date
07/13/2006
Last updated
11/15/2013
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