| Eyecare Of Carlinville Pc | |
|
300 N Broad St, Carlinville, IL 62626-1304 | |
| (217) 854-7611 | |
| (217) 854-8120 |
| Full Name | Eyecare Of Carlinville Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 300 N Broad St, Carlinville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578803011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010516 (Illinois) | Primary |
| Provider Name | Katie M Goodman-thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518241637 PECOS PAC ID: 5193998805 Enrollment ID: I20111025000356 |
| Provider Name | Ellen K Braley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619595352 PECOS PAC ID: 4880014992 Enrollment ID: I20201012000826 |
| Provider Name | Samantha Od Butcher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417635137 PECOS PAC ID: 9032564778 Enrollment ID: I20231016001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Of Carlinville Pc 300 N Broad St, Carlinville, IL 62626-1304 Ph: (217) 854-7611 | Eyecare Of Carlinville Pc 300 N Broad St, Carlinville, IL 62626-1304 Ph: (217) 854-7611 |
Dr. Keith T Hedrick, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 615 N Broad St, Carlinville, IL 62626 Phone: 217-854-3173 Fax: 217-854-4123 | |
Dr. Samantha Butcher, OD Optometrist Medicare: Medicare Enrolled Practice Location: 270 N Broad St, Carlinville, IL 62626 Phone: 217-854-7611 | |
Dr. Katie Marie Goodman-thomas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 N Broad St, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 | |
Dr. Ellen Kay Braley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 N Broad St, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 | |
John A Lapp, OD Optometrist Medicare: Medicare Enrolled Practice Location: 300 North Broad, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 | |
Carlinville Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 North Broad, Carlinville, IL 62626 Phone: 217-854-7611 Fax: 217-854-8120 |