Direct Mobile Vision, Pllc | |
3965 75th St # 105, Aurora, IL 60504-7925 | |
(815) 260-6884 | |
Not Available |
Full Name | Direct Mobile Vision, Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 3965 75th St # 105, Aurora, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467072942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Ryan C Edwards |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639593908 PECOS PAC ID: 9830488907 Enrollment ID: I20200604000338 |
Mailing Address | Practice Location Address |
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Direct Mobile Vision, Pllc 3965 75th St # 105, Aurora, IL 60504-7925 Ph: (815) 260-6884 | Direct Mobile Vision, Pllc 3965 75th St # 105, Aurora, IL 60504-7925 Ph: (815) 260-6884 |
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