Jeffrey D Dzik Od & Associates Llc | |
2111 Claude Bailey Pkwy, Princeton, IL 61356-8618 | |
(815) 879-3210 | |
(815) 879-8618 |
Full Name | Jeffrey D Dzik Od & Associates Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 2111 Claude Bailey Pkwy, Princeton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598164626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046009859 (Illinois) | Primary |
Provider Name | Jeffrey D Dzik |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912932807 PECOS PAC ID: 4981608106 Enrollment ID: I20060831000031 |
Mailing Address | Practice Location Address |
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Jeffrey D Dzik Od & Associates Llc 604 Hickory Ave, Oglesby, IL 61348-1192 Ph: (815) 879-3210 | Jeffrey D Dzik Od & Associates Llc 2111 Claude Bailey Pkwy, Princeton, IL 61356-8618 Ph: (815) 879-3210 |
Dr. Jon E Mccutchan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Ace Rd, Suite 4, Princeton, IL 61356 Phone: 815-872-3937 Fax: 815-875-3937 | |
Dr. Jeffrey D Dzik, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2111 Claude Bailey Pkwy, Princeton, IL 61356 Phone: 815-875-4521 | |
Donald R Marion, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2 Park Avenue West, Princeton, IL 61356 Phone: 815-879-2020 Fax: 815-879-2001 |