Dr James Doherty, OD | |
1914 E Grand Ave, Lindenhurst, IL 60046-7822 | |
(847) 356-2020 | |
Not Available |
Full Name | Dr James Doherty |
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Gender | Male |
Speciality | Optometrist |
Location | 1914 E Grand Ave, Lindenhurst, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427001718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046006829 (Illinois) | Primary |
Provider Name | Accuvision Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477676914 PECOS PAC ID: 3870567936 Enrollment ID: O20040824000714 |
Mailing Address | Practice Location Address |
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Dr James Doherty, OD 1914 E Grand Ave, Lindenhurst, IL 60046-7822 Ph: (847) 274-6000 | Dr James Doherty, OD 1914 E Grand Ave, Lindenhurst, IL 60046-7822 Ph: (847) 356-2020 |
Dr. Nae Hyon Kwon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2120 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2900 | |
Accuvision Optometrist Medicare: Medicare Enrolled Practice Location: 1914 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2020 Fax: 847-356-5051 | |
Miss Taryn Lee Doherty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2120 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2020 |