Dr Eric Birky, OD | |
101 N Veterans Pkwy, Bloomington, IL 61704-3596 | |
(309) 663-2700 | |
(312) 327-7621 |
Full Name | Dr Eric Birky |
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Gender | Male |
Speciality | Optometrist |
Location | 101 N Veterans Pkwy, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013483783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.011258 (Illinois) | Primary |
Provider Name | Vep Il Optometric Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528536620 PECOS PAC ID: 3678814217 Enrollment ID: O20190409002694 |
Mailing Address | Practice Location Address |
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Dr Eric Birky, OD 101 N Veterans Pkwy, Bloomington, IL 61704-3596 Ph: () - | Dr Eric Birky, OD 101 N Veterans Pkwy, Bloomington, IL 61704-3596 Ph: (309) 663-2700 |
Dr. Christine D Clark, PH.D., TVI, DTV Optometrist Medicare: Not Enrolled in Medicare Practice Location: 221 Woodland Ave, Bloomington, IL 61701 Phone: 309-824-5841 | |
Dr. John Francis Couillard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2103 E. Washington St., Suite 1d, Bloomington, IL 61701 Phone: 309-662-2277 Fax: 309-663-6472 | |
Megan V Mosley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 | |
Adam Sobin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Bloomington, IL 61701 Phone: 309-829-5311 Fax: 309-827-8027 | |
Dr. Jay E Tallis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 915 N Main St, Bloomington, IL 61701 Phone: 309-827-8434 Fax: 309-828-6741 | |
John Robert Fults, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1631 E Empire St, Bloomington, IL 61701 Phone: 309-662-4074 Fax: 309-662-4074 |