| Advanced Eyecare Of Carlinville | |
|
615 N Broad St, Carlinville, IL 62626-1020 | |
| (217) 854-3173 | |
| Not Available |
| Full Name | Advanced Eyecare Of Carlinville |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 615 N Broad St, Carlinville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851417513 | NPI | - | NPPES |
| 046006408 | Medicaid | IL | |
| 410042496 | Other | IL | RUBRICH RAILROAD NUMBER |
| 410042452 | Other | IL | HEDRICK RAILROAD NUMBER |
| 0001115000 | Other | IL | BC BS GROUP NUMBER |
| 046008125 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008125 (Illinois) | Primary |
| 152W00000X | Optometrist | 046006408 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eyecare Of Carlinville 615 N Broad St, Carlinville, IL 62626-1020 Ph: (217) 854-3173 | Advanced Eyecare Of Carlinville 615 N Broad St, Carlinville, IL 62626-1020 Ph: (217) 854-3173 |
Dr. Keith T Hedrick, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 615 N Broad St, Carlinville, IL 62626 Phone: 217-854-3173 Fax: 217-854-4123 | |
Dr. Samantha Butcher, OD Optometrist Medicare: Medicare Enrolled Practice Location: 270 N Broad St, Carlinville, IL 62626 Phone: 217-854-7611 | |
Dr. Katie Marie Goodman-thomas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 N Broad St, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 | |
Eyecare Of Carlinville Pc Optometrist Medicare: Medicare Enrolled Practice Location: 300 N Broad St, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 | |
Dr. Ellen Kay Braley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 N Broad St, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 | |
John A Lapp, OD Optometrist Medicare: Medicare Enrolled Practice Location: 300 North Broad, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 | |
Carlinville Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 North Broad, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 |