| Family Eye Care Of Pontiac, Llc | |
|
320 N Ladd St, Pontiac, IL 61764-1612 | |
| (815) 842-4304 | |
| (815) 844-5495 |
| Full Name | Family Eye Care Of Pontiac, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 320 N Ladd St, Pontiac, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003816000 | NPI | - | NPPES |
| 4991920001 | Other | DME | |
| 05332011 | Other | BLUE CROSS | |
| DB0240 | Other | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Family Eye Care Of Pontiac, Llc 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 842-4304 | Family Eye Care Of Pontiac, Llc 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 842-4304 |
Sasha L Radford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 | |
Dr. Brian D Henson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 815-419-2019 Fax: 815-419-2021 | |
J A K Enterprises Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 309-693-9540 Fax: 309-693-9754 | |
Dr. Param Jeet Singh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1706 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2439 | |
Dr. Bryan Matthew Stoller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 815-844-5495 | |
Dr. Reid Allen Pettit, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 845-844-5495 |