Organization Name: | A&K KOUKLAKIS OD P.C. |
NPI Number: | 1700909884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEXANDER HARIDIMOS KOUKLAKIS (PRESIDENT) |
Mailing Address: | 4902 Indianapolis Blvd East Chicago |
State: | IN US |
Postal Code: | 463123605 |
Phone Number: | 2193982066 |
Fax Number: | 2193982066 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |