Kathleen Vize, OD | |
1505 Eastland Dr Ste 2200, Bloomington, IL 61701-7910 | |
(309) 662-7700 | |
(309) 662-0829 |
Full Name | Kathleen Vize |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 22 Years |
Location | 1505 Eastland Dr Ste 2200, Bloomington, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952406787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2426 (Colorado) | Secondary |
152W00000X | Optometrist | 002480 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Swagel-wootton Eye Center, Inc | 9335130046 | 8 |
Provider Name | Swagel-wootton Eye Center, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063484459 PECOS PAC ID: 9335130046 Enrollment ID: O20040521000065 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Vize, OD 1505 Eastland Dr Ste 2200, Bloomington, IL 61701-7910 Ph: (309) 662-7700 | Kathleen Vize, OD 1505 Eastland Dr Ste 2200, Bloomington, IL 61701-7910 Ph: (309) 662-7700 |
Dr. Eric Birky, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 Fax: 312-327-7621 | |
Dr. Christine D Clark, PH.D., TVI, DTV Optometrist Medicare: Not Enrolled in Medicare Practice Location: 221 Woodland Ave, Bloomington, IL 61701 Phone: 309-824-5841 | |
Dr. John Francis Couillard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2103 E. Washington St., Suite 1d, Bloomington, IL 61701 Phone: 309-662-2277 Fax: 309-663-6472 | |
Megan V Mosley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 | |
Adam Sobin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Bloomington, IL 61701 Phone: 309-829-5311 Fax: 309-827-8027 | |
Dr. Jay E Tallis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 915 N Main St, Bloomington, IL 61701 Phone: 309-827-8434 Fax: 309-828-6741 | |
John Robert Fults, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1631 E Empire St, Bloomington, IL 61701 Phone: 309-662-4074 Fax: 309-662-4074 |