| Jrgold, Inc | |
|
1120 Lake Land Blvd Ste 1, Mattoon, IL 61938-5562 | |
| (217) 258-8466 | |
| (217) 258-8443 |
| Full Name | Jrgold, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1120 Lake Land Blvd Ste 1, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851500524 | NPI | - | NPPES |
| 046007322 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007322 (Illinois) | Primary |
| 332H00000X | Eyewear Supplier | (Illinois) | Secondary |
| Provider Name | Jeffrey Bowman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083682785 PECOS PAC ID: 1951329747 Enrollment ID: I20051118000392 |
| Provider Name | James Robert Goldstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700874922 PECOS PAC ID: 9133138969 Enrollment ID: I20060407000026 |
| Provider Name | Robert W Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588728257 PECOS PAC ID: 4284712076 Enrollment ID: I20080505000075 |
| Provider Name | Robert James Blumthal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578568077 PECOS PAC ID: 4981728706 Enrollment ID: I20100901000084 |
| Provider Name | Luke Joseph Armstrong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063030302 PECOS PAC ID: 7719304708 Enrollment ID: I20200908000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Jrgold, Inc 1120 Lake Land Blvd Ste 1, Mattoon, IL 61938-5562 Ph: (217) 258-8466 | Jrgold, Inc 1120 Lake Land Blvd Ste 1, Mattoon, IL 61938-5562 Ph: (217) 258-8466 |
Dr. Neelum Haqqani, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1001 Charleston Ave E, All About Eyes, Mattoon, IL 61938 Phone: 217-235-2020 | |
Vep Il Optometric Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Charleston Ave E, Mattoon, IL 61938 Phone: 217-235-2020 | |
Dr. Luke Joseph Armstrong, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1120 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-8466 | |
Michael Morris, Optometrist Medicare: Medicare Enrolled Practice Location: 101 Dettro Dr, Mattoon, IL 61938 Phone: 217-235-6855 | |
Quantum Vision Centers Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 Richmond Ave E, Mattoon, IL 61938 Phone: 636-200-4393 Fax: 217-234-3930 | |
Dr. Naomi D'entremont, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Charleston Ave E, Mattoon, IL 61938 Phone: 217-236-2020 Fax: 217-235-2022 | |
James R Goldstein, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1120 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-8466 Fax: 217-258-8443 |