Broadway Vision Center | |
926 Broadway St, Quincy, IL 62301-2730 | |
(217) 222-6888 | |
(217) 222-6975 |
Full Name | Broadway Vision Center |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 926 Broadway St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396046090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008462 (Illinois) | Primary |
Provider Name | Mervi Leyendeckers |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083711642 PECOS PAC ID: 8426171554 Enrollment ID: I20101201000474 |
Mailing Address | Practice Location Address |
---|---|
Broadway Vision Center 926 Broadway Street, Quincy, IL 62301-2730 Ph: (217) 222-6888 | Broadway Vision Center 926 Broadway St, Quincy, IL 62301-2730 Ph: (217) 222-6888 |
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 | |
Bobak Rafati, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3131 Broadway, Quincy, IL 62301 Phone: 217-223-7900 Fax: 217-223-7999 | |
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 |