| Halsted Eye Boutique, Inc. | |
|
2852 N Halsted St, Chicago, IL 60657-6531 | |
| (773) 549-1111 | |
| (773) 546-1116 |
| Full Name | Halsted Eye Boutique, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2852 N Halsted St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558546713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-008926 (Illinois) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 046-008926 (Illinois) | Secondary |
| Provider Name | Joanna Slusky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366757320 PECOS PAC ID: 3072796762 Enrollment ID: I20110317000311 |
| Provider Name | Angela Kumar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134579808 PECOS PAC ID: 8224324603 Enrollment ID: I20160912000783 |
| Provider Name | Krystyna M Katz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508450859 PECOS PAC ID: 1052727583 Enrollment ID: I20210309000826 |
| Provider Name | Tracy Becherer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275268880 PECOS PAC ID: 6204285034 Enrollment ID: I20240529000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Halsted Eye Boutique, Inc. 697 Lyster Rd, Highwood, IL 60040-2007 Ph: (847) 477-5612 | Halsted Eye Boutique, Inc. 2852 N Halsted St, Chicago, IL 60657-6531 Ph: (773) 549-1111 |
Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320 | |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 | |
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774 |