ALEXANDER H KOUKLAKIS (NPI# 1851460299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851460299 |
| Entity Type | Individual |
| Full Name | ALEXANDER H KOUKLAKIS |
| Credential | O.D. |
| Practice Address |
2294 W 81st Ave Merrillville IN 46410-5339 |
| Practice Telephone | 2197561700 |
| Mailing Telephone | 2197561700 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
18002297B | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100215150 | 05 |
| Street Address |
2294 W 81ST AVE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407910235 | Joseph M. Hamang | Optometrist | 2294 W 81st Ave, Merrillville, IN 46410-5339 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770127342 | Center for Eye-care Excellence | Optometrist | 12806 State Road 23, Granger, IN 46530-7894 | 2019-11-06 |
| 1396054458 | Southside Eye Center, P.C. | Optometrist | 1634 W Smith Valley Rd Ste A, Greenwood, IN 46142-1550 | 2010-10-06 |
| 1043453509 | Dr. Jeremy Elmore Inc. | Optometrist | 3719 Sout East Street, Indianapolis, IN 46227-1290 | 2009-04-14 |
| 1104094887 | Dr. Michael Fagin, P.C. | Optometrist | 2007 E Greyhound Pass, Suite 4, Carmel, IN 46033-7808 | 2008-02-14 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1639133911 | Perry Sampanis | Optometrist | 2806 E Pine Ln, Bloomington, IN 47401-4424 | 2006-04-13 |
| 1265407472 | Gail Ziegler Rhoades | Optometrist | 860 E 86th St, Suite 2, Indianapolis, IN 46240-6859 | 2006-02-21 |
| 1306844923 | Kirk A Mackay | Optometrist | 1901 N Meridian St, Indianapolis, IN 46202-1303 | 2005-07-08 |
| 1952928558 | Joselyn Dlouhy | Optometrist | 744 E 3rd St, Bloomington, IN 47405-3603 | 2020-06-30 |
| 1427506484 | Center for Eye-care Excellence | Optometrist | 810 E Colfax Ave, South Bend, IN 46617-2804 | 2016-09-19 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on ALEXANDER H KOUKLAKIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.