Organization
DR. TIMOTHY H. MCGILLEN PROFESSIONAL OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY H. MCGILLEN O.D. (PRESIDENT)
(219) 738-2180
Entity
Organization
Contact information
Practice address
279 W 80TH PL, MERRILLVILLE, IN 46410-5491
(219) 738-2180
(219) 738-2847
Mailing address
279 W 80TH PL, MERRILLVILLE, IN 46410-5491
(219) 738-2180
(219) 738-2847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56000072A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201037950A
—
IN
Enumeration date
02/23/2007
Last updated
01/07/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us