| Grayslake Eyecare Assoc Ltd | |
|
661 N Lake St, Grayslake, IL 60030-1471 | |
| (847) 223-7600 | |
| (847) 548-7653 |
| Full Name | Grayslake Eyecare Assoc Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 661 N Lake St, Grayslake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003031030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009065 (Illinois) | Primary |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013158674 PECOS PAC ID: 1355495623 Enrollment ID: I20090820000677 |
| Provider Name | Amit Bhambri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144517020 PECOS PAC ID: 8820261670 Enrollment ID: I20111024000415 |
| Provider Name | Scott Damon Pouyat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316059728 PECOS PAC ID: 7618137472 Enrollment ID: I20120402000369 |
| Provider Name | Constance Copeland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508857202 PECOS PAC ID: 6002823564 Enrollment ID: I20170927000721 |
| Provider Name | Berta Newton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124540083 PECOS PAC ID: 9032526512 Enrollment ID: I20210330000322 |
| Provider Name | Tam Bao Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972276350 PECOS PAC ID: 7810388774 Enrollment ID: I20220103001838 |
| Provider Name | Riya Rose Philip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295402725 PECOS PAC ID: 1658740311 Enrollment ID: I20221220000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Grayslake Eyecare Assoc Ltd 661 N Lake St, Grayslake, IL 60030-1471 Ph: (847) 223-7600 | Grayslake Eyecare Assoc Ltd 661 N Lake St, Grayslake, IL 60030-1471 Ph: (847) 223-7600 |
Dr. Charlotte F. Nielsen, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1120 E Washington St, Grayslake, IL 60030 Phone: 847-223-2000 | |
Kelly Raether, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1475 E Belvidere Rd Ste 1297, Northwestern Ophthalmology Department, Grayslake, IL 60030 Phone: 847-295-0001 | |
Dr. Carla Marie Iafigliola, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 146 Center St, Grayslake, IL 60030 Phone: 847-548-2770 | |
Village Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 146 Center St, Suite 200, Grayslake, IL 60030 Phone: 773-736-6800 | |
Victoria Ann Haynes, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1475 E Belvidere Rd, Grayslake, IL 60030 Phone: 847-543-8722 Fax: 847-543-1982 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 146 Center St, Ste 200, Grayslake, IL 60030 Phone: 847-548-2770 Fax: 847-548-2916 |