PHILLIP G. KOULTOURIDES, O.D. P.C. – Optometrist, NPI 1508192147

PHILLIP G. KOULTOURIDES, O.D. P.C. is a healthcare provider. based in Saint john, Indiana. specializing in Optometrist. The organization holds a License No. 18003080 (IN). The NPI Number for PHILLIP G. KOULTOURIDES, O.D. P.C. is 1508192147

Main info

Organization
Name
PHILLIP G. KOULTOURIDES, O.D. P.C.
NPI
1508192147
Phone
(219) 365-8069
Address
9140 DRAKE DR
Authorized Official
DR. PHILLIP KOULTOURIDES PRESIDENT O.D.
Enumeration Date
1 November 2009
Last Update Date
1 November 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for PHILLIP G. KOULTOURIDES, O.D. P.C.

  • Drake's Passage, Charlotte Amalie Historic District, Charlotte Amalie West, Charlotte Amalie, Saint Thomas - Saint John District, United States Virgin Islands, 00804, United States

    SAINT JOHN, IN 463739066

    Phone: (219) 365-8069

    Fax: (219) 465-2785

    Type: Mailing

  • East Morthland Drive, Valparaiso, Porter County, Indiana, 46385, United States

    VALPARAISO, IN 463838329

    Phone: (219) 465-2788

    Fax: (219) 465-2785

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46373)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for PHILLIP G. KOULTOURIDES, O.D. P.C. in U.S. healthcare records?
The official identifier for PHILLIP G. KOULTOURIDES, O.D. P.C. is NPI 1508192147.
Is there an active status for PHILLIP G. KOULTOURIDES, O.D. P.C.?
For scheduling context, PHILLIP G. KOULTOURIDES, O.D. P.C. is shown as active in the registry.
What expertise is attributed to PHILLIP G. KOULTOURIDES, O.D. P.C.?
PHILLIP G. KOULTOURIDES, O.D. P.C.'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PHILLIP G. KOULTOURIDES, O.D. P.C.?
Travel planning: use Saint John, Indiana as the reference point for PHILLIP G. KOULTOURIDES, O.D. P.C., then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

210 Indianapolis Blvd Ste B
NPI: 1295847986
9270, Wicker Avenue, Saint John, St. John, Lake County, Indiana, 46373, United States
NPI: 1154489177
9488 WICKER AVE # A
NPI: 1124147947
8970, Willow Lane, St. John, Lake County, Indiana, 46373, United States
NPI: 1457550493

FOCUS OPTOMETRY

Optometrist
8025 WICKER AVE STE H
NPI: 1699107664
3171, Peschel Court, Dyer, Lake County, Indiana, 46311, United States
NPI: 1699250548
2407 Northland Dr
NPI: 1316567134
8614 WESTWOOD CENTER DR FL 9
NPI: 1861272916
9200 IRIS DR
NPI: 1164259644