Dr Daniel Keith Roberson, OD, PHD | |
3001 Green Bay Rd, North Chicago, IL 60064-3048 | |
(224) 610-5440 | |
(224) 610-7150 |
Full Name | Dr Daniel Keith Roberson |
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Gender | Male |
Speciality | Optometrist |
Location | 3001 Green Bay Rd, North Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861826141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3320-35 (Wisconsin) | Primary |
Provider Name | Watertown Physician Practices Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Keith Roberson, OD, PHD 3413 8th Ave, Racine, WI 53402-3706 Ph: (262) 880-5203 | Dr Daniel Keith Roberson, OD, PHD 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (224) 610-5440 |
Dr. Sara Nisar, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-7176 | |
Claire Elizabeth Skorseth, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-7155 | |
Dr. Gary I Bekritsky, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, 112 Eye Clinic, North Chicago, IL 60064 Phone: 224-610-5440 Fax: 224-610-2909 | |
Dr. Yumna Zaidi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-5440 | |
Dr. Jenna Koskey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 |