| Low Vision Clinic | |
|
1850 W Roosevelt Road The Chicago Lighthouse Chicago IL 60608 | |
| (312) 666-1331 | |
| (312) 997-3663 |
| Full Name | Low Vision Clinic |
|---|---|
| Speciality | Optometrist |
| Location | 1850 W Roosevelt Road, Chicago, Illinois |
| Authorized Official Name and Position | Gabrielle Niewinski (MEDICAL BILLING MANAGER) |
| Authorized Official Contact | 3126661331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Low Vision Clinic 1850 W Roosevelt Rd Chicago IL 60608-1200 Ph: (312) 666-1331 | Low Vision Clinic 1850 W Roosevelt Road The Chicago Lighthouse Chicago IL 60608 Ph: (312) 666-1331 |
| NPI Number | 1043326309 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 2860380805 |
|---|---|
| Medicare Enrollment ID | O20040310000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043326309 | NPI | - | NPPES |
| 1111300 | Other | IL | BLUE CROSS AND BLUE SHIELD OF ILLINOIS |
| 1831182377 | Other | IL | NPI |
| Provider Name | Kara E Crumbliss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831182377 PECOS PAC ID: 0143299081 Enrollment ID: I20040928000875 |
| Provider Name | William M Reiff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720187685 PECOS PAC ID: 0345383303 Enrollment ID: I20100130000195 |
| Provider Name | Tracy L Matchinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730172271 PECOS PAC ID: 6901934025 Enrollment ID: I20100511001037 |
| Provider Name | Laura M Hayes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386936870 PECOS PAC ID: 4789860859 Enrollment ID: I20110525000727 |
| Provider Name | Tammy Ann Price |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942447131 PECOS PAC ID: 7113192535 Enrollment ID: I20111214000466 |
| Provider Name | Michael C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215062419 PECOS PAC ID: 8527351410 Enrollment ID: I20160729002197 |
| Provider Name | Mallory Mclaughlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568812279 PECOS PAC ID: 2668740002 Enrollment ID: I20170607003185 |
| Provider Name | Brian T Coffey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124479571 PECOS PAC ID: 6901170505 Enrollment ID: I20170920002965 |
| Provider Name | Frederick T Collison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356891022 PECOS PAC ID: 5395010110 Enrollment ID: I20171004002658 |
| Provider Name | Namrata Donthamsetti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407381387 PECOS PAC ID: 5597031997 Enrollment ID: I20171031001385 |
| Provider Name | Kelly K Scherer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881122893 PECOS PAC ID: 4880946607 Enrollment ID: I20181005001848 |
| Provider Name | Christopher T Pereira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497313852 PECOS PAC ID: 4789918780 Enrollment ID: I20190625003127 |
| Provider Name | Kaitlan S Ibara |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992296834 PECOS PAC ID: 7517391790 Enrollment ID: I20191220001365 |
| Provider Name | Nitasha Merchant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427625847 PECOS PAC ID: 5395141360 Enrollment ID: I20210831002449 |
| Provider Name | Payton M Holden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710621842 PECOS PAC ID: 9739561010 Enrollment ID: I20220803000812 |
| Provider Name | Macy E Koepke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013652320 PECOS PAC ID: 8325420367 Enrollment ID: I20220808000809 |
| Provider Name | Steven Sargent |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750069134 PECOS PAC ID: 2567826753 Enrollment ID: I20230906002321 |
| Provider Name | Frank J Lane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023204351 PECOS PAC ID: 5395185821 Enrollment ID: I20240501003049 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |