Dr Keith R Hamm, OD | |
3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 | |
(618) 622-9225 | |
(618) 624-6731 |
Full Name | Dr Keith R Hamm |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 22 Years |
Location | 3248 Green Mount Crossing Dr, Shiloh, 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 |
---|---|---|---|
1225023401 | NPI | - | NPPES |
046-009444 | Medicaid | MO | |
046-009444 | Medicaid | IL | |
30821 | Other | MED COMPLETE | |
612276 | Other | HEALTHLINK | |
238288 | Other | GHP | |
P00238170 | Other | IL | RAILROAD MEDICARE |
166472 | Other | BLUE CROSS BLUE SHIELD | |
94444 | Other | EYEMED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046-009444 (Illinois) | Primary |
152W00000X | Optometrist | 20020153161 (Missouri) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avc Optometry Inc | 7214345735 | 5 |
Provider Name | Advanced Vision Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801168893 PECOS PAC ID: 6103089164 Enrollment ID: O20120531000583 |
Provider Name | Clarkson Optometry Illinois, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548635758 PECOS PAC ID: 7012292147 Enrollment ID: O20170331001568 |
Provider Name | Avc Optometry Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285214544 PECOS PAC ID: 7214345735 Enrollment ID: O20210422001845 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith R Hamm, OD 40 E North St, Eureka, MO 63025-1205 Ph: (636) 200-4393 | Dr Keith R Hamm, OD 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 Ph: (618) 622-9225 |
Clarkson Optometry Illinois Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3248 Green Mount Crossing Dr, Shiloh, IL 62269 Phone: 636-200-4393 Fax: 618-624-6731 |