| Dr Kevin Blackett, OD | |
|
1730 W Fullerton Ave, Chicago, IL 60614-1900 | |
| (773) 327-3000 | |
| Not Available |
| Full Name | Dr Kevin Blackett |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1730 W Fullerton Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679256978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.011746 (Illinois) | Primary |
| Provider Name | Vidulich, Blase & Valentino, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568443257 PECOS PAC ID: 7618966359 Enrollment ID: O20040508000302 |
| Provider Name | Wilma, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831120088 PECOS PAC ID: 7113995036 Enrollment ID: O20040920000257 |
| Provider Name | Thaddeus, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831120005 PECOS PAC ID: 0042300881 Enrollment ID: O20071218000122 |
| Provider Name | Weltzer-maite, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780615955 PECOS PAC ID: 3577630805 Enrollment ID: O20080929000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Blackett, OD 1730 W Fullerton Ave, Chicago, IL 60614-1900 Ph: (773) 327-3000 | Dr Kevin Blackett, OD 1730 W Fullerton Ave, Chicago, IL 60614-1900 Ph: (773) 327-3000 |
Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320 | |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 | |
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774 |