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Contact Information

A&K KOUKLAKIS OD P.C.
4902 INDIANAPOLIS BLVD
EAST CHICAGO, IN46312-3605
 Phone: 219-398-2066
 Fax: 219-398-2066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AK KOUKLAKIS OD PC · (Female)

NPI Number 1700909884
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2007
Last updated 11/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 100215150D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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