| Third Street Eyecare | |
|
6440 Main St, Suite 100, Woodridge, IL 60517-1752 | |
| (630) 824-0101 | |
| (630) 824-0105 |
| Full Name | Third Street Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 6440 Main St, Woodridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124348917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007886 (Illinois) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Primary |
| Provider Name | Douglas A Azzaro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346394111 PECOS PAC ID: 1951493683 Enrollment ID: I20070824000732 |
| Provider Name | Ashlyn Ward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922587591 PECOS PAC ID: 4082967476 Enrollment ID: I20181101001733 |
| Provider Name | Eric Veverka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518580430 PECOS PAC ID: 1254751449 Enrollment ID: I20201008001141 |
| Mailing Address | Practice Location Address |
|---|---|
| Third Street Eyecare 6440 Main St, Suite 100, Woodridge, IL 60517-1752 Ph: (630) 824-0101 | Third Street Eyecare 6440 Main St, Suite 100, Woodridge, IL 60517-1752 Ph: (630) 824-0101 |
Mint Vision Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2305 63rd St, Woodridge, IL 60517 Phone: 773-332-0007 | |
Ms. Ann Sonia Kalladanthyil, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2017 75th St, Woodridge, IL 60517 Phone: 630-427-1000 Fax: 630-427-1181 | |
Direct Healthcare Solutions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Fringetree Ln, Woodridge, IL 60517 Phone: 708-275-6192 | |
Wow Vision Pc Optometrist Medicare: Medicare Enrolled Practice Location: 7451 Woodward Ave, Suite 101, Woodridge, IL 60517 Phone: 630-663-9112 Fax: 630-663-9228 | |
Nicole Freeman Margason, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6440 Main St Ste 100, Woodridge, IL 60517 Phone: 630-824-0101 | |
Leo J Prentice, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7451 Woodward Ave, Suite 101, Woodridge, IL 60517 Phone: 630-663-9112 Fax: 630-663-9228 |