| Bloomington Eye Professionals | |
|
1015 S Mercer Ave, Bloomington, IL 61701-7107 | |
| (309) 213-9200 | |
| (309) 213-9300 |
| Full Name | Bloomington Eye Professionals |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1015 S Mercer Ave, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881135853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-007731 (Illinois) | Primary |
| Provider Name | Dennis M Brtva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215909056 PECOS PAC ID: 1951365451 Enrollment ID: I20080325000329 |
| Provider Name | Ashley Elizabeth Foster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396399374 PECOS PAC ID: 6103258280 Enrollment ID: I20191111001830 |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Eye Professionals 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 213-9200 | Bloomington Eye Professionals 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 213-9200 |
Dr. Eric Birky, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 Fax: 312-327-7621 | |
Dr. Christine D Clark, PH.D., TVI, DTV Optometrist Medicare: Not Enrolled in Medicare Practice Location: 221 Woodland Ave, Bloomington, IL 61701 Phone: 309-824-5841 | |
Dr. John Francis Couillard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2103 E. Washington St., Suite 1d, Bloomington, IL 61701 Phone: 309-662-2277 Fax: 309-663-6472 | |
Megan V Mosley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 | |
Adam Sobin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Bloomington, IL 61701 Phone: 309-829-5311 Fax: 309-827-8027 | |
Dr. Jay E Tallis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 915 N Main St, Bloomington, IL 61701 Phone: 309-827-8434 Fax: 309-828-6741 | |
John Robert Fults, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1631 E Empire St, Bloomington, IL 61701 Phone: 309-662-4074 Fax: 309-662-4074 |