Bobak Rafati, OD | |
3131 Broadway, Quincy, IL 62301 | |
(217) 223-7900 | |
(217) 223-7999 |
Full Name | Bobak Rafati |
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Gender | Male |
Speciality | Optometrist |
Location | 3131 Broadway, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265689863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.010119 (Illinois) | Primary |
Provider Name | Vep Il Optometric Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528536620 PECOS PAC ID: 3678814217 Enrollment ID: O20190409002694 |
Mailing Address | Practice Location Address |
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Bobak Rafati, OD 101 N Veterans Pkwy, #301, Bloomington, IL 61704-3596 Ph: (309) 663-2700 | Bobak Rafati, OD 3131 Broadway, Quincy, IL 62301 Ph: (217) 223-7900 |
Specs Optometrist Medicare: Medicare Enrolled Practice Location: 195 S 36th St, Quincy, IL 62301 Phone: 217-224-7732 | |
Dr. Mervi Hannele Leyendeckers, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 | |
Dr. Kurtis M. Carlson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4929 Oak Street, Quincy, IL 62305 Phone: 217-222-2020 Fax: 217-223-9582 | |
Site Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3236 Broadway St, Quincy, IL 62301 Phone: 217-228-2060 Fax: 217-228-2066 | |
Dr. Jason Michael Kvitle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3325 Maine St, Suite 1, Quincy, IL 62301 Phone: 217-231-3937 Fax: 217-231-3940 | |
Broadway Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 |