Dr Andrew Thomas Dust, OD | |
3121 S Park Ave, Herrin, IL 62948-3785 | |
(618) 942-5465 | |
Not Available |
Full Name | Dr Andrew Thomas Dust |
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Gender | Male |
Speciality | Optometrist |
Location | 3121 S Park Ave, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790523488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046011866 (Illinois) | Primary |
Provider Name | Complete Family Eyecare Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104131168 PECOS PAC ID: 3274729033 Enrollment ID: O20101119000400 |
Provider Name | Complete Family Eyecare Of West Frankfort Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669989281 PECOS PAC ID: 3476816240 Enrollment ID: O20180409000325 |
Mailing Address | Practice Location Address |
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Dr Andrew Thomas Dust, OD Po Box 550, Carterville, IL 62918-0550 Ph: (618) 942-5465 | Dr Andrew Thomas Dust, OD 3121 S Park Ave, Herrin, IL 62948-3785 Ph: (618) 942-5465 |
Complete Family Eyecare, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3121 S Park Ave, Herrin, IL 62948 Phone: 618-942-5465 Fax: 618-942-7042 | |
William Fix, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 321 S Park Ave, Herrin, IL 62948 Phone: 618-942-2900 Fax: 618-942-4199 | |
Dr. Chase Aaron Rudolph, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3121 S Park Ave, Herrin, IL 62948 Phone: 618-942-5465 | |
Dr. Kelly Davis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Lincoln Dr, Suite A, Herrin, IL 62948 Phone: 618-351-8900 Fax: 618-351-0076 | |