| Illini Optometric Pc | |
|
3300 Godfrey Rd, Godfrey, IL 62035 | |
| (618) 466-8787 | |
| (618) 466-4703 |
| Full Name | Illini Optometric Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3300 Godfrey Rd, Godfrey, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780850032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 060005314 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Illini Optometric Pc Po Box 5040, Godfrey, IL 62035 Ph: (618) 466-8787 | Illini Optometric Pc 3300 Godfrey Rd, Godfrey, IL 62035 Ph: (618) 466-8787 |
Bradley D Martinson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Adeyinka A Adewale, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Dr. Mark Edward Ferguson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Rose Optical, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 Fax: 618-466-4703 | |
Andrew Ibisch, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1310 Dadrian Prof Park, Godfrey, IL 62035 Phone: 618-433-5005 Fax: 618-467-1053 | |
Ron Loflin, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3300 Godfrey Rd, Godfrey, IL 62035 Phone: 618-466-8787 |