Dr Dinita Cooley, OD | |
6232 Broadway, Quincy, IL 62305-6230 | |
(217) 771-1845 | |
Not Available |
Full Name | Dr Dinita Cooley |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 13 Years |
Location | 6232 Broadway, Quincy, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831486901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2011018493 (Missouri) | Secondary |
152W00000X | Optometrist | 046.010549 (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 Dinita Cooley, OD 8309 N Knoxville Ave, Peoria, IL 61615-2170 Ph: (309) 693-9540 | Dr Dinita Cooley, OD 6232 Broadway, Quincy, IL 62305-6230 Ph: (217) 771-1845 |
Specs Optometrist Medicare: Medicare Enrolled Practice Location: 195 S 36th St, Quincy, IL 62301 Phone: 217-224-7732 | |
Dr. Mervi Hannele Leyendeckers, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 | |
Dr. Kurtis M. Carlson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4929 Oak Street, Quincy, IL 62305 Phone: 217-222-2020 Fax: 217-223-9582 | |
Bobak Rafati, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3131 Broadway, Quincy, IL 62301 Phone: 217-223-7900 Fax: 217-223-7999 | |
Site Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3236 Broadway St, Quincy, IL 62301 Phone: 217-228-2060 Fax: 217-228-2066 | |
Dr. Jason Michael Kvitle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3325 Maine St, Suite 1, Quincy, IL 62301 Phone: 217-231-3937 Fax: 217-231-3940 | |
Broadway Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 |