| Bright Eyes Family Vision, Inc | |
|
2401 W Us Highway 20, Unit 107, Pingree Grove, IL 60140-8818 | |
| (224) 569-1001 | |
| (847) 423-6090 |
| Full Name | Bright Eyes Family Vision, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2401 W Us Highway 20, Pingree Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649647967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010411 (Illinois) | Primary |
| Provider Name | Ellen R Petroczky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992996383 PECOS PAC ID: 7810069234 Enrollment ID: I20080630000594 |
| Provider Name | Kara Marie Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932414810 PECOS PAC ID: 5395934699 Enrollment ID: I20110118000419 |
| Provider Name | Olivia Zolnik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093443541 PECOS PAC ID: 1557738085 Enrollment ID: I20221111002376 |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Eyes Family Vision, Inc 2401 W Us Highway 20, Unit 107, Pingree Grove, IL 60140-8818 Ph: (224) 569-1001 | Bright Eyes Family Vision, Inc 2401 W Us Highway 20, Unit 107, Pingree Grove, IL 60140-8818 Ph: (224) 569-1001 |
Dr. Kara Marie Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2401 W Us Highway 20, Suite 107, Pingree Grove, IL 60140 Phone: 224-569-1001 Fax: 847-423-6090 |