Dr Brian D Henson, OD | |
1712 W Reynolds St, Pontiac, IL 61764-9695 | |
(815) 419-2019 | |
(815) 419-2021 |
Full Name | Dr Brian D Henson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 40 Years |
Location | 1712 W Reynolds St, Pontiac, 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 |
---|---|---|---|
1184782112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046-007747 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
J A K Enterprises Inc | 3173519014 | 24 |
Provider Name | J A K Enterprises Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508856923 PECOS PAC ID: 3173519014 Enrollment ID: O20040424000025 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian D Henson, OD 8309 N Knoxville Ave, Peoria, IL 61615-2170 Ph: (309) 693-9540 | Dr Brian D Henson, OD 1712 W Reynolds St, Pontiac, IL 61764-9695 Ph: (815) 419-2019 |
Family Eye Care Of Pontiac, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 815-844-5495 | |
Sasha L Radford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 | |
Bard Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 309-693-9540 Fax: 309-693-9754 | |
Dr. Param Jeet Singh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1706 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2439 | |
Dr. Bryan Matthew Stoller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 815-844-5495 | |
Dr. Reid Allen Pettit, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 845-844-5495 |