MEDICARE: DR. LAUREN JO CUROSH 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
1	152W00000X	Optometrist	046010625	IL
2	152W00000X	Optometrist	18003735A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	211019	OTHER	IL	MEDICARE LAKE/DUPAGE COUNTY
5	210209	OTHER	IL	MEDICARE COOK COUNTY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8825444	OTHER	IL	MULTIPLAN
3	7235044	OTHER	IL	AETNA
4	1636706	OTHER		BCBS

General Provider Information

NPI Number	:	1437414398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN JO CUROSH O.D.

Provider Business Mailing Address
First Line	:	1538 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1733
Country	:	US
Telephone Number	:	219-659-0805
Fax Number	:	219-659-0830

Provider Business Practice Location Address
First Line	:	1538 119TH ST
Second Line	:
City	:	WHITING
State	:	IN
Zip	:	46394-1733
Country	:	US
Telephone Number	:	219-659-0805
Fax Number	:	219-659-0830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	05/06/2025

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Directions to “ DR. LAUREN JO CUROSH O.D.” Practice Location

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