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NPI Code Detail

MEDICARE: MERLE K PICKEL JR O.D.

MEDICARE:   MERLE K PICKEL JR  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist18001529BIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410005190OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000083711OTHERINANTHEM

General Provider Information

NPI Number : 1306838958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERLE K PICKEL JR O.D.
Provider Business Mailing Address
First Line : 50 WILLOW ST STE A
Second Line :
City : NASHVILLE
State : IN
Zip : 47448-7063
Country : US
Telephone Number : 812-988-4937
Fax Number : 812-988-2110
Provider Business Practice Location Address
First Line : 50 WILLOW ST
Second Line : SUITE A
City : NASHVILLE
State : IN
Zip : 47448-7013
Country : US
Telephone Number : 812-988-4937
Fax Number : 812-988-2110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 03/31/2014

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Directions to “ MERLE K PICKEL JR O.D.” Practice Location

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