Provider Demographics
NPI:1689862310
Name:OCULAR MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:OCULAR MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:EMERT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:812-882-9600
Mailing Address - Street 1:1209 S STATE ROAD 57
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-4367
Mailing Address - Country:US
Mailing Address - Phone:812-254-0990
Mailing Address - Fax:812-254-7730
Practice Address - Street 1:1209 S STATE ROAD 57
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-4367
Practice Address - Country:US
Practice Address - Phone:812-254-0990
Practice Address - Fax:812-254-7730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1156030004Medicare NSC