| Advanced Eyecare Of South Holland | |
|
835 E 162nd St, South Holland, IL 60473-2465 | |
| (708) 333-4444 | |
| (708) 333-4454 |
| Full Name | Advanced Eyecare Of South Holland |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 835 E 162nd St, South Holland, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942749791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009678 (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 | Stephen A Shulman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962581306 PECOS PAC ID: 8325192107 Enrollment ID: I20090812000895 |
| Provider Name | Jasper Gulotta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669464251 PECOS PAC ID: 2062548217 Enrollment ID: I20100327000117 |
| Provider Name | Bianca P Surti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275015349 PECOS PAC ID: 9436574472 Enrollment ID: I20200807000140 |
| 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 South Holland 835 E 162nd St, South Holland, IL 60473-2465 Ph: (708) 333-4444 | Advanced Eyecare Of South Holland 835 E 162nd St, South Holland, IL 60473-2465 Ph: (708) 333-4444 |
South Holland Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 353 E 162nd St, South Holland, IL 60473 Phone: 708-331-3553 Fax: 708-331-3722 | |
Dr. Lonnie Lee Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 353 E 162nd St, South Holland, IL 60473 Phone: 708-331-3553 Fax: 708-331-3722 | |
South Holland Optometric Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 835 E 162nd St, South Holland, IL 60473 Phone: 708-333-4444 Fax: 708-333-4454 | |
Dr. Stephen Shulman, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1024 E 162nd St, South Holland, IL 60473 Phone: 708-339-4040 Fax: 708-339-3989 | |
Dr. Jasper J Gulotta, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 835 E 162nd St, South Holland, IL 60473 Phone: 708-333-4444 Fax: 708-333-4454 | |
Dr. Stephen Alan Shulman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1024 E 162nd St, South Holland, IL 60473 Phone: 708-339-4040 Fax: 708-339-3989 |