Provider Demographics
NPI:1770782880
Name:CULVER, LINDSAY J (OD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:J
Last Name:CULVER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:J
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 527
Mailing Address - Street 2:
Mailing Address - City:WABASH
Mailing Address - State:IN
Mailing Address - Zip Code:46992-0527
Mailing Address - Country:US
Mailing Address - Phone:260-563-3672
Mailing Address - Fax:260-563-6534
Practice Address - Street 1:833 N CASS ST
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-1613
Practice Address - Country:US
Practice Address - Phone:260-563-3672
Practice Address - Fax:260-563-6534
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003475A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200866310Medicaid
IN084200FMedicare PIN
IN200866310Medicaid
INP00467282Medicare PIN
INP00474818Medicare PIN
IN160450RMedicare PIN
IN452570MMedicare PIN
IN296080NMedicare PIN