| |
26w171 Roosevelt Road, Wheaton, IL 60187 | |
(815) 455-2800 | |
(815) 455-2801 |
Full Name | |
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Type | Facility |
Speciality | Optometrist - Vision Therapy |
Location | 26w171 Roosevelt Road, Wheaton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033442769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WV0400X | Optometrist - Vision Therapy | 047931297 (Illinois) | Primary |
Provider Name | Carrie S Sypherd |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992756290 PECOS PAC ID: 8426093816 Enrollment ID: I20050705000301 |
Mailing Address | Practice Location Address |
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820 E. Terra Cotta Ave. Suite 256, Crystal Lake, IL 60014 Ph: (815) 455-2800 | 26w171 Roosevelt Road, Wheaton, IL 60187 Ph: (815) 455-2800 |
Dr. Ann E Clark, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-9561 | |
Hajera Shahreen Khan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 109 Danada Sq E, Wheaton, IL 60189 Phone: 331-716-4955 | |
Dr. Rasha Dhaher, Optometrist Medicare: Medicare Enrolled Practice Location: 2254 Blacksmith Dr, Wheaton, IL 60189 Phone: 630-492-7262 |