| Bolingbrook Eye Specialists Ltd | |
|
150 Concord Lane, Bolingbrook, IL 60440 | |
| (630) 759-1330 | |
| (630) 968-0180 |
| Full Name | Bolingbrook Eye Specialists Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 150 Concord Lane, Bolingbrook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578643698 | NPI | - | NPPES |
| 046007060 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007060 (Illinois) | Primary |
| 152W00000X | Optometrist | 346000246 (Illinois) | Secondary |
| Provider Name | Shinu P Varghese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437281920 PECOS PAC ID: 4284730391 Enrollment ID: I20070507000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Bolingbrook Eye Specialists Ltd 150 Concord Lane, Bolingbrook, IL 60440 Ph: (630) 759-1330 | Bolingbrook Eye Specialists Ltd 150 Concord Lane, Bolingbrook, IL 60440 Ph: (630) 759-1330 |
Dr. Brian Paul Berry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1243 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-679-0900 Fax: 630-679-0213 | |
Dr. Stephen D. Kemerley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-378-4342 Fax: 630-378-4147 | |
Dr. Michael Euntaek Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 S Bolingbrook Dr, Bolingbrook, IL 60440 Phone: 630-739-4891 | |
Catherine M Reyes, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 310 S Weber Rd, Bolingbrook, IL 60490 Phone: 703-847-8899 Fax: 571-223-6780 | |
Dr. Mary Grimwood & Associates, Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-378-4342 | |
For Eyes Optical Of Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-378-0878 | |
Burton G. Pinchuk, O.d.,p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 402 W Boughton Rd, Suite B, Bolingbrook, IL 60440 Phone: 630-759-5100 Fax: 630-759-5101 |