Fireside Eye Care, P.c. | |
600 S 8th St, Benld, IL 62009-1446 | |
(217) 835-7724 | |
(217) 835-7611 |
Full Name | Fireside Eye Care, P.c. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 600 S 8th St, Benld, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447448717 | NPI | - | NPPES |
0460091814 | Medicaid | IL | |
05927400 | Other | IL | BCBS |
P00184209 | Other | IL | MEDICARE RR |
419640 | Other | IL | HEALTHLINK |
5275510001 | Other | IL | ADMINASTAR |
210902 | Other | IL | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 46009181 (Illinois) | Primary |
Provider Name | Jennifer M Waller |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861440612 PECOS PAC ID: 7618955154 Enrollment ID: I20040710000271 |
Provider Name | Shawna Lanette Heddinghaus |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811982515 PECOS PAC ID: 4385695147 Enrollment ID: I20050214000812 |
Provider Name | Claud R Snowden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235122466 PECOS PAC ID: 2264434653 Enrollment ID: I20070214000233 |
Provider Name | Alicia Triplett Janssen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831487610 PECOS PAC ID: 3072785484 Enrollment ID: I20111007000093 |
Mailing Address | Practice Location Address |
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Fireside Eye Care, P.c. 600 S 8th St, Benld, IL 62009-1446 Ph: (217) 835-7724 | Fireside Eye Care, P.c. 600 S 8th St, Benld, IL 62009-1446 Ph: (217) 835-7724 |
Dr. Shawna L Heddinghaus, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 S 8th St, Benld, IL 62009 Phone: 217-835-7724 Fax: 217-835-7611 |