OrganizationActive
Phillip G. Koultourides, O.D. P.C.
NPI 1508192147 · Optometrist · Valparaiso, IN
Provider details
- NPI number
- 1508192147
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Phillip Koultourides, President(219) 365-8069
- License
- 18003080 (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2400 Morthland Dr
Valparaiso, IN 46383-8329
Phone: (219) 465-2788
Fax: (219) 465-2785
Street-level locationGet directions
Mailing address
9140 Drake Dr
Saint John, IN 46373-9066
Registry dates
- Enumerated
- 2009-11-01
- Last updated
- 2009-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.