Dr Jonathan D Goulart, OD | |
1000 Kiwanis Dr, Freeport, IL 61032-6921 | |
(815) 235-6177 | |
(815) 235-6180 |
Full Name | Dr Jonathan D Goulart |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 40 Years |
Location | 1000 Kiwanis Dr, Freeport, 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 |
---|---|---|---|
1518065176 | NPI | - | NPPES |
046007745 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046007745 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Eyecare Pc | 7012968209 | 5 |
Rosin Optical Co Inc | 8022921758 | 43 |
Provider Name | Rosin Optical Co Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235343641 PECOS PAC ID: 8022921758 Enrollment ID: O20031110000262 |
Provider Name | Northwest Eyecare Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184800625 PECOS PAC ID: 7012968209 Enrollment ID: O20050204000353 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan D Goulart, OD 1000 Kiwanis Dr, Freeport, IL 61032-6921 Ph: (815) 235-6177 | Dr Jonathan D Goulart, OD 1000 Kiwanis Dr, Freeport, IL 61032-6921 Ph: (815) 235-6177 |
Dr. Susan Andrea Seabold, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2545 Il Route 26 S, Freeport, IL 61032 Phone: 815-266-2037 Fax: 815-266-2038 | |
Freeport Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1110 S Park Blvd, Freeport, IL 61032 Phone: 815-232-1105 Fax: 815-232-3117 | |
Dr. Jeffrey John James, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1110 S Park Blvd, Freeport, IL 61032 Phone: 815-232-1105 Fax: 815-232-3117 | |
Northwest Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-6177 Fax: 815-235-6180 | |
Eye Health Solutions Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2545 Il Route 26 S, Freeport, IL 61032 Phone: 815-266-2036 Fax: 815-266-2058 | |
Stephanie Lyn Fisher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 W South St, Freeport, IL 61032 Phone: 158-232-2020 Fax: 815-235-1712 |