Craig Michael Lichlyter (NPI# 1720392020, PAC ID# 2466644679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720392020 |
| PAC ID by PECOS | 2466644679 |
| Professional Enrollment ID | I20101006000832 |
| Full Name | Craig Michael Lichlyter |
| Organization Legal Name | DRS ROUSH AND WILL OPTOMETRISTS INC |
| Address |
809 Lincolnway S Ligonier IN 46767-1705 |
| Phone Number | 2608943912 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2010 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9830165026 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 809 Lincolnway S, Ligonier, IN 46767-1705 | 2608943912 | DRS ROUSH AND WILL OPTOMETRISTS INC |
| Organization Legal Name | DRS ROUSH AND WILL OPTOMETRISTS INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Alan Roush | Optometry | Drs Roush and Will Optometrists Inc | 815 Trail Ridge Rd, Albion, IN 46701-1534 |
| Craig A Bonham | Optometry | Drs Roush and Will Optometrists Inc | 781 E N St, Kendallville, IN 46755-1225 |
| Elizabeth Jane Roush | Optometry | Drs Roush and Will Optometrists Inc | 815 Trail Ridge Rd, Albion, IN 46701-1534 |
| Matthew Will | Optometry | Drs Roush and Will Optometrists Inc | 815 Trail Ridge Rd, Albion, IN 46701-1534 |
| Street Address |
809 LINCOLNWAY S |
| City | LIGONIER |
| State | IN |
| Zip | 46767-1705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra S Imbody | Occupational Therapy | Spine Sports and Industrial Rehabilitation of Ligonier, Inc. | 157 River Rd, Ligonier, IN 46767-9111 |
| Jeffrey L Ciocca | Physical Therapy | Spine Sports and Industrial Rehabilitation of Ligonier, Inc. | 157 River Rd, Ligonier, IN 46767-9111 |
| Hope Koontz | Nurse Practitioner | Parkview Health System Inc | 1464 Lincolnway S, Ligonier, IN 46767-9601 |
| City | LIGONIER |
| Zip Code | 46767 |
| Specialty | OPTOMETRY |
| City + Specialty | LIGONIER + OPTOMETRY |
Please comment or provide details below to improve the information on Craig Michael Lichlyter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.