| Eigenbrodt Vision Center, P.c. | |
|
1950 Edwardsville Club Plaza, Edwardsville, IL 62025-3717 | |
| (618) 656-3199 | |
| (618) 656-3099 |
| Full Name | Eigenbrodt Vision Center, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1950 Edwardsville Club Plaza, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437193554 | NPI | - | NPPES |
| 274260 | Other | IL | GHP |
| DG3297 | Other | IL | PALMETTOGBA/RROADMED. |
| 5932266 | Other | IL | AETNA |
| 400311 | Other | IL | GROUP HEALTH PLAN |
| 901900 | Other | IL | MEDICARE |
| 125419 | Other | IL | BLUE CROSS BLUE SHIELD MO |
| 125215 | Other | IL | HEALTHLINK |
| 06032220 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 115544 | Other | IL | EYEMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008144 (Illinois) | Primary |
| Provider Name | John R Eigenbrodt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982602918 PECOS PAC ID: 1153423512 Enrollment ID: I20070305000055 |
| Provider Name | Marcus Andrew Cuff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588952501 PECOS PAC ID: 9830363670 Enrollment ID: I20111114000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Eigenbrodt Vision Center, P.c. 1950 Edwardsville Club Plaza Ct, Edwardsville, IL 62025-3717 Ph: (618) 656-3199 | Eigenbrodt Vision Center, P.c. 1950 Edwardsville Club Plaza, Edwardsville, IL 62025-3717 Ph: (618) 656-3199 |
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 | |
Edwardsville Vision Center 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 |