Dr Therese Marie Porretta, OD | |
1410 S Randall Rd, Algonquin, IL 60102-5919 | |
(847) 458-5796 | |
Not Available |
Full Name | Dr Therese Marie Porretta |
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Gender | Female |
Speciality | Optometrist |
Location | 1410 S Randall Rd, Algonquin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720182165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Illinois) | Primary |
Provider Name | Eye Boutique Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114144276 PECOS PAC ID: 7012073851 Enrollment ID: O20090304000089 |
Mailing Address | Practice Location Address |
---|---|
Dr Therese Marie Porretta, OD 620 Echo Trl, Marengo, IL 60152-8058 Ph: (708) 261-4902 | Dr Therese Marie Porretta, OD 1410 S Randall Rd, Algonquin, IL 60102-5919 Ph: (847) 458-5796 |
Dawn Wickizer Optometrist Medicare: Medicare Enrolled Practice Location: 436 S Randall Rd, Algonquin, IL 60102 Phone: 847-658-4242 Fax: 847-658-5643 | |
Wendy Jean Mchugh, OD Optometrist Medicare: Medicare Enrolled Practice Location: 245 Stonegate Rd, Algonquin, IL 60102 Phone: 847-658-0120 Fax: 847-658-0610 | |
Atkinson Eye Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2100 N. Huntington Drive, Unit A, Algonquin, IL 60102 Phone: 847-854-5700 Fax: 847-854-5762 | |
Morfoot Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 S Randall Rd, Algonquin, IL 60102 Phone: 847-854-5412 | |
In Focus Eyecare P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 750 S Randall Rd, Algonquin, IL 60102 Phone: 847-458-5343 Fax: 847-458-5344 | |
Precision Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 204 S Main St, Algonquin, IL 60102 Phone: 224-678-9043 | |
Amna Mirza Malik, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 750 S Randall Rd, Algonquin, IL 60102 Phone: 847-458-5343 Fax: 847-458-4344 |