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1107 College Ave, Quincy, IL 62301-2600 | |
| (217) 223-7834 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1107 College Ave, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528707403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jason Michael Kvitle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356775720 PECOS PAC ID: 1456585553 Enrollment ID: I20131003000090 |
| Mailing Address | Practice Location Address |
|---|---|
1107 College Ave, Quincy, IL 62301-2600 Ph: (217) 223-7834 | 1107 College Ave, Quincy, IL 62301-2600 Ph: (217) 223-7834 |
Dr. Mervi Hannele Leyendeckers, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 | |
Dr. Kurtis M. Carlson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4929 Oak Street, Quincy, IL 62305 Phone: 217-222-2020 Fax: 217-223-9582 | |
Bobak Rafati, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3131 Broadway, Quincy, IL 62301 Phone: 217-223-7900 Fax: 217-223-7999 | |
Site Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3236 Broadway St, Quincy, IL 62301 Phone: 217-228-2060 Fax: 217-228-2066 | |
Dr. Jason Michael Kvitle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3325 Maine St, Suite 1, Quincy, IL 62301 Phone: 217-231-3937 Fax: 217-231-3940 | |