| Advanced Eyecare Of Wheaton | |
|
1325 N Main St, Wheaton, IL 60187-3579 | |
| (630) 668-4144 | |
| (630) 668-7559 |
| Full Name | Advanced Eyecare Of Wheaton |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1325 N Main St, Wheaton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134453897 | NPI | - | NPPES |
| 046009678 | Medicaid | IL | |
| 1134453897 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-009678 (Illinois) | Primary |
| Provider Name | Grishma P Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164622874 PECOS PAC ID: 7719944974 Enrollment ID: I20041220000460 |
| Provider Name | Keith E Hougas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437274297 PECOS PAC ID: 6305898578 Enrollment ID: I20050217000140 |
| Provider Name | Avery N Shulman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174532840 PECOS PAC ID: 7719045103 Enrollment ID: I20081029000731 |
| Provider Name | Stephen A Shulman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962581306 PECOS PAC ID: 8325192107 Enrollment ID: I20090812000895 |
| Provider Name | Maja Hadziahmetovic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396195228 PECOS PAC ID: 6709179500 Enrollment ID: I20160801000139 |
| Provider Name | Constance Copeland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508857202 PECOS PAC ID: 6002823564 Enrollment ID: I20170927000721 |
| Provider Name | Jonathan Mark Ismond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578133211 PECOS PAC ID: 7416359591 Enrollment ID: I20210817001549 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eyecare Of Wheaton 1325 N Main St, Wheaton, IL 60187-3579 Ph: (630) 668-4144 | Advanced Eyecare Of Wheaton 1325 N Main St, Wheaton, IL 60187-3579 Ph: (630) 668-4144 |
Express Optics/rosin Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 Danada Sq W, Wheaton, IL 60189 Phone: 630-752-0595 Fax: 630-752-0145 | |
Spectrios Institute For Low Vision Optometrist Medicare: Medicare Enrolled Practice Location: 219 E Cole Ave, Wheaton, IL 60187 Phone: 630-690-7115 Fax: 630-690-9037 | |
Carrie Sypherd, Od Optometrist Medicare: Medicare Enrolled Practice Location: 26w171 Roosevelt Road, Wheaton, IL 60187 Phone: 815-455-2800 Fax: 815-455-2801 | |
Dr. Ann E Clark, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-9561 | |
Dr. Rasha Dhaher, Optometrist Medicare: Medicare Enrolled Practice Location: 2254 Blacksmith Dr, Wheaton, IL 60189 Phone: 630-492-7262 | |
Dr. Grishma Premal Patel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1325 N Main St, Wheaton, IL 60187 Phone: 630-668-4144 Fax: 630-668-7559 |