Dr Ansel T Johnson, OD | |
12812 Western Ave, Blue Island, IL 60406-2118 | |
(708) 385-0013 | |
(708) 385-1175 |
Full Name | Dr Ansel T Johnson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 39 Years |
Location | 12812 Western Ave, Blue Island, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023106309 | NPI | - | NPPES |
1636075 | Other | IL | BCBSIL ID |
046007826 | Medicaid | IL | |
0718670001 | Other | IL | DMERC PIN |
363718601 | Other | IL | TAX ID |
410011831 | Other | RAIL ROAD MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046007826 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Vision Salon, Ltd. | 0345143855 | 3 |
Provider Name | The Vision Salon, Ltd. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487727046 PECOS PAC ID: 0345143855 Enrollment ID: O20040131000101 |
Mailing Address | Practice Location Address |
---|---|
Dr Ansel T Johnson, OD 12812 Western Ave, Blue Island, IL 60406-2118 Ph: (708) 385-0013 | Dr Ansel T Johnson, OD 12812 Western Ave, Blue Island, IL 60406-2118 Ph: (708) 385-0013 |
Eiman Yousif Gafour, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Meyer Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 Fax: 708-810-9726 | |
Vision Salon Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Dr. Jill C Ingelse, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 Fax: 708-810-9726 | |
Daniel Ahrens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 S Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 | |
Vision Salon Eye Care Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13046 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 |