Clint T Taylor Od Llc | |
304 S Church St, Carmi, IL 62821-1604 | |
(618) 382-4683 | |
(618) 382-4684 |
Full Name | Clint T Taylor Od Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 304 S Church St, Carmi, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245410281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Illinois) | Primary |
Provider Name | Clint T Taylor |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811931769 PECOS PAC ID: 1658302609 Enrollment ID: I20050831000128 |
Mailing Address | Practice Location Address |
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Clint T Taylor Od Llc 304 S Church St, Carmi, IL 62821-1604 Ph: (618) 382-4683 | Clint T Taylor Od Llc 304 S Church St, Carmi, IL 62821-1604 Ph: (618) 382-4683 |
Dr. Nicole Hanish, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 W Main St, Carmi, IL 62821 Phone: 618-384-5112 Fax: 618-382-3500 | |
Dr. Lars A Gentry, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1207 W Main St, Carmi, IL 62821 Phone: 618-384-3411 Fax: 618-382-7226 | |
Dr. Clint T Taylor, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1684 Falcon Ave, Carmi, IL 62821 Phone: 618-382-4683 Fax: 618-382-4684 |