East St. Louis Eye Clinic | |
601 James R. Thompson Blvd, Building D, Ste 2030, East St. Louis, IL 62201-1129 | |
(618) 482-8355 | |
(618) 482-8360 |
Full Name | East St. Louis Eye Clinic |
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Type | Facility |
Speciality | Optometrist |
Location | 601 James R. Thompson Blvd, East St. Louis, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417049610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Illinois) | Primary |
Provider Name | Angel N Simmons |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841473063 PECOS PAC ID: 2365465994 Enrollment ID: I20071221000273 |
Provider Name | Sarah S Dohrman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477815744 PECOS PAC ID: 8628224375 Enrollment ID: I20120810000762 |
Provider Name | Mary B Rhomberg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144210519 PECOS PAC ID: 4981668217 Enrollment ID: I20130515000438 |
Provider Name | Linda Nguyen Du |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205210960 PECOS PAC ID: 0244543411 Enrollment ID: I20160105001872 |
Provider Name | Nathan J Kirby |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558719054 PECOS PAC ID: 3678863776 Enrollment ID: I20160601002869 |
Provider Name | Casey M Peterson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033585161 PECOS PAC ID: 3870802242 Enrollment ID: I20160830000740 |
Provider Name | Coral Dawn Dundon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447774047 PECOS PAC ID: 9931455367 Enrollment ID: I20180921000063 |
Provider Name | Brittany Lynn Wright |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306221049 PECOS PAC ID: 2264712231 Enrollment ID: I20190504000016 |
Mailing Address | Practice Location Address |
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East St. Louis Eye Clinic 1 University Blvd, Patient Care Center, Saint Louis, MO 63121-4400 Ph: (314) 516-5131 | East St. Louis Eye Clinic 601 James R. Thompson Blvd, Building D, Ste 2030, East St. Louis, IL 62201-1129 Ph: (618) 482-8355 |