Fairbury Vision Center Llc | |
2 Aspen Ct, Fairbury, IL 61739-1487 | |
(815) 692-2415 | |
(815) 692-2675 |
Full Name | Fairbury Vision Center Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2 Aspen Ct, Fairbury, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144639105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Bryan Stoller |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316946338 PECOS PAC ID: 3577452176 Enrollment ID: I20040326000203 |
Provider Name | Mary Teresa Rieger |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770572620 PECOS PAC ID: 6709969611 Enrollment ID: I20080215000430 |
Provider Name | Dennis M Brtva |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215909056 PECOS PAC ID: 1951365451 Enrollment ID: I20080325000329 |
Provider Name | Sasha Radford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124009162 PECOS PAC ID: 9537115068 Enrollment ID: I20120420000605 |
Provider Name | Janelle Joyce Brown |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538556915 PECOS PAC ID: 6800108978 Enrollment ID: I20150701002066 |
Provider Name | Ashley Elizabeth Foster |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396399374 PECOS PAC ID: 6103258280 Enrollment ID: I20191111001830 |
Mailing Address | Practice Location Address |
---|---|
Fairbury Vision Center Llc 2 Aspen Ct, Fairbury, IL 61739-1487 Ph: (815) 692-2415 | Fairbury Vision Center Llc 2 Aspen Ct, Fairbury, IL 61739-1487 Ph: (815) 692-2415 |
Dr. Mary T Rieger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2 Aspen Ct, Fairbury, IL 61739 Phone: 815-692-2415 Fax: 815-692-2675 |