Justin Timothy Kwan, OD | |
7225 N Caldwell Ave, Niles, IL 60714-4548 | |
(847) 647-0707 | |
(847) 647-1402 |
Full Name | Justin Timothy Kwan |
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Gender | Male |
Speciality | Optometrist |
Location | 7225 N Caldwell Ave, Niles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063641538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 046.011274 (Illinois) | Secondary |
152W00000X | Optometrist | 046.011274 (Illinois) | Primary |
Provider Name | Professional Eye Care Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720171515 PECOS PAC ID: 6002702883 Enrollment ID: O20040227000084 |
Mailing Address | Practice Location Address |
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Justin Timothy Kwan, OD 7225 N Caldwell Ave, Niles, IL 60714-4548 Ph: (847) 647-0707 | Justin Timothy Kwan, OD 7225 N Caldwell Ave, Niles, IL 60714-4548 Ph: (847) 647-0707 |
Marina Shepelenko, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7421 N Milwaukee Ave, Niles, IL 60714 Phone: 773-775-0811 | |
Eric Greenfield Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 9440 N Milwaukee Ave, Niles, IL 60714 Phone: 847-299-6289 | |
Dr. Daniel W Yang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9643 N Milwaukee Ave, Niles, IL 60714 Phone: 847-583-1860 | |
Rosin Optical Co., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8580 W Dempster St, Niles, IL 60714 Phone: 847-699-8580 Fax: 847-699-5053 | |
Dr. Ryan C Socwell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8580 W Dempster St, Niles, IL 60714 Phone: 847-699-8580 | |
Better Vision Optometrists Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8800 W Dempster St, Niles, IL 60714 Phone: 847-297-4593 |