| Antioch Eyecare Llc | |
|
735 Main St, Antioch, IL 60002-1321 | |
| (847) 997-1477 | |
| Not Available |
| Full Name | Antioch Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 735 Main St, Antioch, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417485061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009065 (Illinois) | Primary |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013158674 PECOS PAC ID: 1355495623 Enrollment ID: I20090820000677 |
| Provider Name | Scott Damon Pouyat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316059728 PECOS PAC ID: 7618137472 Enrollment ID: I20120402000369 |
| Provider Name | Tam Bao Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972276350 PECOS PAC ID: 7810388774 Enrollment ID: I20220103001838 |
| Provider Name | Riya Rose Philip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295402725 PECOS PAC ID: 1658740311 Enrollment ID: I20221220000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Antioch Eyecare Llc 735 Main St, Antioch, IL 60002-1321 Ph: (847) 997-1477 | Antioch Eyecare Llc 735 Main St, Antioch, IL 60002-1321 Ph: (847) 997-1477 |
Laura Cretors, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 884 Hillside Ave, Antioch, IL 60002 Phone: 847-395-4090 Fax: 847-395-7378 | |
Antioch Eye Associates Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 884 Hillside Ave, Antioch, IL 60002 Phone: 847-395-4090 Fax: 847-395-7378 | |
Berta Newton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 554 E Il Route 173, Antioch, IL 60002 Phone: 224-603-7189 Fax: 224-788-8656 | |
Dr. Lonn Truong Yang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 473 E Route 173, Antioch, IL 60002 Phone: 847-838-3401 Fax: 847-838-3407 | |
Roger Allen Sona, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 735 Main St, Antioch, IL 60002 Phone: 847-395-8885 Fax: 847-395-8913 | |
Dr. Christian James Crawford, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31 North Ave, Antioch, IL 60002 Phone: 847-395-4090 |