Individual
SAMANTHA OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1861 E SUMMIT ST, CROWN POINT, IN 46307-2768
(219) 617-5058
Mailing address
1861 E SUMMIT ST, CROWN POINT, IN 46307-2768
(219) 663-4450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004584A
IN
Other
Enumeration date
06/18/2025
Last updated
08/07/2025
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