Individual
DR. DENNIS L SOMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
316 PINE LAKE AVE, LAPORTE, IN 46350
(219) 362-2336
Mailing address
316 PINE LAKE AVE, LAPORTE, IN 46350
(219) 362-2336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2131B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163880A
—
IN
01
—
410005621
RAILROAD MEDICARE
—
Enumeration date
07/28/2006
Last updated
02/14/2023
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