<unavail> in Alton, IL - Medicare Optometrist Provider

is a medicare enrolled "Optometrist" provider in Alton, Illinois. Their current practice location is 406 E Broadway, Alton, Illinois. You can reach out to their office (for appointments etc.) via phone at (618) 462-7611.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699835033.

Contact Information


	406 E Broadway, Alton, IL 62002-2417
	(618) 462-7611
	(314) 231-4774

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	406 E Broadway, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699835033
Provider Enumeration Date: 12/08/2006
Last Update Date: 05/08/2018

Medicare PECOS Information:

PECOS PAC ID: 1456256346
Enrollment ID: O20100930016604

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699835033	NPI	-	NPPES
14065	Other	IL	SPECTERA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
211 E Broadway, Alton, IL 62002-6220 Ph: (618) 462-9818	406 E Broadway, Alton, IL 62002-2417 Ph: (618) 462-7611

Reviews and Comments

Optometrist in Alton, IL

Aeg Delaware Professional Pa Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818
Aeg Connecticut Professional Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947
Dr. James Walter Lieber, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 401 Henry St, Alton, IL 62002 Phone: 618-465-6000
Mark D. Wade O D P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947
Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1819 Homer Adams Parkway, Suite B, Alton, IL 62002 Phone: 636-200-4393 Fax: 636-938-2650
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2865 Homer M Adams Pkwy, Alton, IL 62002 Phone: 618-465-1654 Fax: 618-465-8652

- Medicare Optometrist in Alton, IL