Dr Bryan Matthew Stoller, OD | |
320 N Ladd St, Pontiac, IL 61764-1612 | |
(815) 842-4304 | |
(815) 844-5495 |
Full Name | Dr Bryan Matthew Stoller |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 26 Years |
Location | 320 N Ladd 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 |
---|---|---|---|
1316946338 | NPI | - | NPPES |
P00083064 | Other | RAILROAD | |
U71920 | Other | VSP | |
041882 | Other | HEALTH ALLIANCE | |
05332011 | Other | IL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pontiac Family Eye Care Llc | 5395068266 | 3 |
Fairbury Vision Center Llc | 7719209345 | 4 |
Provider Name | Fairbury Vision Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144639105 PECOS PAC ID: 7719209345 Enrollment ID: O20141209001776 |
Provider Name | Pontiac Family Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700286143 PECOS PAC ID: 5395068266 Enrollment ID: O20141229001728 |
Mailing Address | Practice Location Address |
---|---|
Dr Bryan Matthew Stoller, OD 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 842-4304 | Dr Bryan Matthew Stoller, OD 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 842-4304 |
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 | |
Dr. Brian D Henson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 815-419-2019 Fax: 815-419-2021 | |
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. 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 |