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Contact Information

A&K KOUKLAKIS OD. P.C.
1303 165TH STREET
HAMMOND, IN46320
 Phone: 219-931-8733
 Fax: 219-932-2964
 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 # 1851414379
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2007
Last updated 06/04/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 100215150B
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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