Andrew Ibisch, OD | |
1310 Dadrian Prof Park, Godfrey, IL 62035-1685 | |
(618) 433-5005 | |
(618) 467-1053 |
Full Name | Andrew Ibisch |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 6 Years |
Location | 1310 Dadrian Prof Park, Godfrey, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700356912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.011262 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marion Eye Centers Ltd | 3072426774 | 33 |
Provider Name | Marion Eye Centers Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508865643 PECOS PAC ID: 3072426774 Enrollment ID: O20031125000609 |
Provider Name | Jfj Eyecare Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376586685 PECOS PAC ID: 8224009865 Enrollment ID: O20040805000548 |
Provider Name | Clarkson Optometry Illinois, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548635758 PECOS PAC ID: 7012292147 Enrollment ID: O20170331001568 |
Mailing Address | Practice Location Address |
---|---|
Andrew Ibisch, OD Po Box 207163, Dallas, TX 75320-7154 Ph: (636) 200-4393 | Andrew Ibisch, OD 1310 Dadrian Prof Park, Godfrey, IL 62035-1685 Ph: (618) 433-5005 |
Bradley D Martinson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Adeyinka A Adewale, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Dr. Mark Edward Ferguson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Rose Optical, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Ron Loflin, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 | |
Illini Optometric Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 |