Evanston Eye Wellness Inc. | |
716 Main St, Evanston, IL 60202-1816 | |
(847) 350-7952 | |
(847) 929-9764 |
Full Name | Evanston Eye Wellness Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 716 Main St, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801265657 | NPI | - | NPPES |
046009750 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046009750 (Illinois) | Primary |
Provider Name | Deana R Labrosse |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124068572 PECOS PAC ID: 6709810039 Enrollment ID: I20050926000396 |
Mailing Address | Practice Location Address |
---|---|
Evanston Eye Wellness Inc. 716 Main St, Evanston, IL 60202-1816 Ph: (847) 350-7952 | Evanston Eye Wellness Inc. 716 Main St, Evanston, IL 60202-1816 Ph: (847) 350-7952 |
Dr. Sabrina D'haiti, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 635 Chicago Ave, Evanston, IL 60202 Phone: 847-864-8209 | |
Dr. Gina Marie Piper, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 522 Dempster Ave., Evanston, IL 60202 Phone: 847-864-5200 Fax: 847-864-1231 | |
Dr. Frank E Rubin, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1962 Dempster St, Evanston, IL 60202 Phone: 847-475-3937 Fax: 847-475-9572 | |
Kristina Byzyka, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2914 Central St, Evanston, IL 60201 Phone: 847-864-4768 | |
Austin Gregory, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 522 Dempster St, Evanston, IL 60202 Phone: 847-864-5200 Fax: 847-864-1231 | |
Dr. Kamran Hussain, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 635 Chicago Ave, Evanston, IL 60202 Phone: 847-901-0781 |