Search › Indiana › 152W00000X
Brittany Disterheft, OD
NPI 1760906135 · on the registry since 2017
Practice
- Address
- 13115 Wicker Ave Ste E
Cedar Lake, IN 46303 - Phone
- (219) 374-7800
- Fax
- (219) 374-5196
- Organisation at this address
- Illiana Eyecare Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-30
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