Luis Dominguez, O.D

NPI 1528178316 · on the registry since 2006

Practice

Address: 2400 Morthland Dr
Valparaiso, IN 46383
Phone: (219) 465-2788
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Phillip G. Koultourides, O.D. P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 152WC0802X
152WC0802X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana