- Medicare Optometrist in Edwardsville, IL

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is a medicare enrolled "Optometrist" provider in Edwardsville, Illinois. Their current practice location is 2100 Troy Rd, Edwardsville, Illinois. You can reach out to their office (for appointments etc.) via phone at (618) 656-8888.

is licensed to practice in Illinois (license number 046010111) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1477703411.

Contact Information

2100 Troy Rd,
Edwardsville, IL 62025-2595
(618) 656-8888
(618) 656-8920

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location2100 Troy Rd, Edwardsville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477703411
  • Provider Enumeration Date: 09/26/2008
  • Last Update Date: 05/31/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9436210762
  • Enrollment ID: O20081205000160

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477703411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046010111 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLisa M Kowar
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1245371483
PECOS PAC ID: 9830082114
Enrollment ID: I20040205001045
Provider NameChih Jen Wang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861443079
PECOS PAC ID: 3375433717
Enrollment ID: I20040617000538
Provider NameMark D Wade
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376512137
PECOS PAC ID: 8527043868
Enrollment ID: I20040622000116
Provider NameMichael E Robinson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295887602
PECOS PAC ID: 5092772186
Enrollment ID: I20041210000385
Provider NameCasey L Hogan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346233889
PECOS PAC ID: 7719945104
Enrollment ID: I20050103000237
Provider NameValerie J Barber
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265504443
PECOS PAC ID: 8224087754
Enrollment ID: I20050121000423
Provider NameJohn W Kleinhoffer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992793103
PECOS PAC ID: 2961448055
Enrollment ID: I20050630000072
Provider NameDeana R Labrosse
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124068572
PECOS PAC ID: 6709810039
Enrollment ID: I20050926000396
Provider NameRoger H Hill
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235212275
PECOS PAC ID: 2860417698
Enrollment ID: I20051012000042
Provider NameRichard E Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437232477
PECOS PAC ID: 1850316688
Enrollment ID: I20051012000057
Provider NameLeon F Kubicki
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043381882
PECOS PAC ID: 0446279400
Enrollment ID: I20051118000320
Provider NameTiffany L Polanek
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1952395014
PECOS PAC ID: 4880616911
Enrollment ID: I20060103000606
Provider NameSamuel J Forzley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1144230392
PECOS PAC ID: 9537167382
Enrollment ID: I20061110000206
Provider NameJohn R Eigenbrodt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1982602918
PECOS PAC ID: 1153423512
Enrollment ID: I20070305000055
Provider NameWilliam Allen Watson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629132477
PECOS PAC ID: 1759487416
Enrollment ID: I20070426000458
Provider NameWilliam C Hillmann
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629039789
PECOS PAC ID: 4688683386
Enrollment ID: I20070627000231
Provider NameMegan S Allen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306045083
PECOS PAC ID: 5193826519
Enrollment ID: I20070728000182
Provider NameJoseph W Aschenbrenner
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841329786
PECOS PAC ID: 2961594163
Enrollment ID: I20070817000200
Provider NameSusan M Penner
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891842464
PECOS PAC ID: 6406825918
Enrollment ID: I20070913000816
Provider NameCarol L Barron
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851497127
PECOS PAC ID: 5092899922
Enrollment ID: I20080229000554
Provider NameEllen R Petroczky
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992996383
PECOS PAC ID: 7810069234
Enrollment ID: I20080630000594
Provider NameRandall D Kittle
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871763839
PECOS PAC ID: 2466524350
Enrollment ID: I20080709000711
Provider NameMichael G Kennedy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417111790
PECOS PAC ID: 6305910340
Enrollment ID: I20080808000400
Provider NameSung Y Kim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275623274
PECOS PAC ID: 4789750944
Enrollment ID: I20080912000023
Provider NameCharlene L Morfoot
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073798773
PECOS PAC ID: 9234298159
Enrollment ID: I20081107000048
Provider NameJordan Phillip Jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225293574
PECOS PAC ID: 1759441397
Enrollment ID: I20081126000590
Provider NameSvetlana Kugel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336208131
PECOS PAC ID: 8022164888
Enrollment ID: I20090918000478
Provider NameWilliam H Opferman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659420818
PECOS PAC ID: 0941346159
Enrollment ID: I20091001000272
Provider NameGenine M Graff
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376786111
PECOS PAC ID: 8921142597
Enrollment ID: I20100219000543
Provider NameTimothy J Leahy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629027958
PECOS PAC ID: 8527193986
Enrollment ID: I20100324000415
Provider NameSteven B Eiden
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457342685
PECOS PAC ID: 1254353683
Enrollment ID: I20100716000389
Provider NameChristina J Levi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417924648
PECOS PAC ID: 2961536602
Enrollment ID: I20101007001075
Provider NameToshio Nakajima
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1609924745
PECOS PAC ID: 8729271242
Enrollment ID: I20101015001287
Provider NameDavid J Tabak
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013906916
PECOS PAC ID: 4284822149
Enrollment ID: I20101220001096
Provider NameAndrew J Neukirch
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962666750
PECOS PAC ID: 5395811459
Enrollment ID: I20110513000406
Provider NameErika K Cleland
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740577956
PECOS PAC ID: 7214100957
Enrollment ID: I20111025000752
Provider NameRyan S Thoele
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700144029
PECOS PAC ID: 9436313210
Enrollment ID: I20120606000557
Provider NameRobert S Gerowitz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023184520
PECOS PAC ID: 5799932471
Enrollment ID: I20120831000443
Provider NameJonathon Paul Thoele
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114282548
PECOS PAC ID: 3870741838
Enrollment ID: I20120917000335
Provider NameAndrew James Brauer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316293590
PECOS PAC ID: 1850545799
Enrollment ID: I20130131000289
Provider NameMatthew Bluemlein
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467707125
PECOS PAC ID: 2264679547
Enrollment ID: I20130503000311
Provider NamePuja Desai
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992050967
PECOS PAC ID: 8022250125
Enrollment ID: I20130819000741
Provider NamePamela Marie Marzec
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134472996
PECOS PAC ID: 5092958942
Enrollment ID: I20130826000603
Provider NameJacqlyn E Long
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992866057
PECOS PAC ID: 2365546421
Enrollment ID: I20140410000325
Provider NameMichelle Man
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336528603
PECOS PAC ID: 8022321702
Enrollment ID: I20150723009515
Provider NameNatalie J Carr
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235519190
PECOS PAC ID: 9830402478
Enrollment ID: I20150724011665
Provider NameMatthew J Odonnell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558800078
PECOS PAC ID: 2365726304
Enrollment ID: I20170310001752
Provider NameJavier R Rodriguez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275056236
PECOS PAC ID: 1456624550
Enrollment ID: I20170913000001
Provider NameConstance Copeland
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508857202
PECOS PAC ID: 6002823564
Enrollment ID: I20170927000721
Provider NameAndrew Ibisch
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700356912
PECOS PAC ID: 3678818747
Enrollment ID: I20181218000908
Provider NameSarah L Rogers
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548828296
PECOS PAC ID: 9335474543
Enrollment ID: I20190710002905
Provider NameAyman Tabani
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013564111
PECOS PAC ID: 5698004034
Enrollment ID: I20190910001058
Provider NameMubashra S Tahir
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972626240
PECOS PAC ID: 7012341910
Enrollment ID: I20191231002175
Provider NameAdam P Wira
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518527860
PECOS PAC ID: 1456788280
Enrollment ID: I20200217002514
Provider NamePraksha Butala
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447873260
PECOS PAC ID: 2466877543
Enrollment ID: I20200806001395
Provider NameStephanie Corbin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124545603
PECOS PAC ID: 6406113760
Enrollment ID: I20200917000746
Provider NameNiki Mehta
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407474166
PECOS PAC ID: 8224452289
Enrollment ID: I20201005000149
Provider NameRobert Fullenwider
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699386755
PECOS PAC ID: 0648698159
Enrollment ID: I20201014000165
Provider NameVrajika Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588282156
PECOS PAC ID: 7315362217
Enrollment ID: I20201021001294
Provider NameTheresa Marie Oliver
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427588185
PECOS PAC ID: 5092125567
Enrollment ID: I20201208000576
Provider NamePriyanka Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316558570
PECOS PAC ID: 7517367303
Enrollment ID: I20210616001098
Provider NameFatima Karim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538545611
PECOS PAC ID: 1850641333
Enrollment ID: I20210616002050
Provider NameAshley Marvin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154774693
PECOS PAC ID: 8022306810
Enrollment ID: I20210917000007
Provider NameShrey Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1497378244
PECOS PAC ID: 3779971353
Enrollment ID: I20211101002292
Provider NameArpit Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710595368
PECOS PAC ID: 1254729684
Enrollment ID: I20211103002715
Provider NameRaphaella Tran
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528636198
PECOS PAC ID: 1658763644
Enrollment ID: I20220125002152
Provider NameLisha Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326474735
PECOS PAC ID: 7214165083
Enrollment ID: I20220429001643
Provider NameMatthew Kyle Mccoy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043835580
PECOS PAC ID: 5294157509
Enrollment ID: I20220610002194
Provider NameHimanee Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558006056
PECOS PAC ID: 1557743531
Enrollment ID: I20220808002339
Provider NameDavid Junge
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942938626
PECOS PAC ID: 2961886478
Enrollment ID: I20220901001797
Provider NameAmie Gandhi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780317453
PECOS PAC ID: 1052796612
Enrollment ID: I20220916003215
Provider NameRegino Flora
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750454393
PECOS PAC ID: 7810367752
Enrollment ID: I20230110001734
Provider NameAnna Pamula
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023728995
PECOS PAC ID: 4385016260
Enrollment ID: I20230203000180
Provider NameDana Hobi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619590403
PECOS PAC ID: 3779966551
Enrollment ID: I20230403000104
Provider NameJessica Garcia
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467130898
PECOS PAC ID: 1052773165
Enrollment ID: I20230821003070
Provider NameAyhubrhan Yifru
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427749209
PECOS PAC ID: 1557717691
Enrollment ID: I20231026001777
Provider NameKatharine Schooley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154016848
PECOS PAC ID: 5193171148
Enrollment ID: I20231026002814
Provider NameTodd Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831202076
PECOS PAC ID: 5597785790
Enrollment ID: I20240306003419
Provider NameCharvi Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033994298
PECOS PAC ID: 2466994330
Enrollment ID: I20240606001920
Provider NameJohn Tatar
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306623061
PECOS PAC ID: 3779022561
Enrollment ID: I20240823003691
Provider NameRickey Harton
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1609861129
PECOS PAC ID: 6507881117
Enrollment ID: I20241010002990
Provider NameAideen Mcenaney
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770343246
PECOS PAC ID: 2769914613
Enrollment ID: I20241016002258
Provider NameDaniel Brennan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770006736
PECOS PAC ID: 5890227789
Enrollment ID: I20241016004001
Provider NameTheresa Osborne
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720741358
PECOS PAC ID: 0840688982
Enrollment ID: I20241016004266
Provider NameMarlin Khouri
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891843652
PECOS PAC ID: 3274065172
Enrollment ID: I20241016004416
Provider NameNada Abdallah
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669206066
PECOS PAC ID: 9335671239
Enrollment ID: I20241016004522
Provider NameJohn O Neill
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356503403
PECOS PAC ID: 8224106885
Enrollment ID: I20241017001812
Provider NameSyed Jaffery
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437929247
PECOS PAC ID: 2466984018
Enrollment ID: I20241021001840
Provider NameRichard Alexander
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730227950
PECOS PAC ID: 5991237547
Enrollment ID: I20241021001958
Provider NameJustin Abraham
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386318137
PECOS PAC ID: 8325570856
Enrollment ID: I20241022001807
Provider NameMason M Garbs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548908072
PECOS PAC ID: 4789062829
Enrollment ID: I20241213000642

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2100 Troy Rd,
Edwardsville, IL 62025-2595

Ph: (618) 656-8888
2100 Troy Rd,
Edwardsville, IL 62025-2595

Ph: (618) 656-8888

Reviews and Comments


Optometrist in Edwardsville, IL

Dr. Stephanie R Goggin, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 6620 Center Grove Road, Edwardsville, IL 62025
Phone: 618-659-1900    Fax: 618-659-1901

Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Troy Rd Ste 104, Edwardsville, IL 62025
Phone: 618-656-8888    Fax: 314-741-4947
Lauren Bozsa, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 25 Dunlap Cove Dr, Edwardsville, IL 62025
Phone: 618-791-0513    
Ashley Ann Boatman, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Troy Rd, Edwardsville, IL 62025
Phone: 618-656-8888    Fax: 314-741-4947
Dr. Sarah Elizabeth Kruse, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 6620 Center Grove Rd, Edwardsville, IL 62025
Phone: 618-659-1900    
Dr. Jennifer Brave Rafati, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Troy Rd Ste 104, Edwardsville, IL 62025
Phone: 618-656-8888    Fax: 618-656-8920
Dr. Natalie J. Hutchison, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Troy Rd, Edwardsville, IL 62025
Phone: 618-656-8888    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.