Lebanon Optometric Center | |
201 W Saint Louis St, Lebanon, IL 62254-1515 | |
(618) 537-6356 | |
(618) 537-6358 |
Full Name | Lebanon Optometric Center |
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Type | Facility |
Speciality | Optometrist |
Location | 201 W Saint Louis St, Lebanon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447373378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 046007516 (Illinois) | Primary |
Provider Name | Charissa L Thorpe |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740225994 PECOS PAC ID: 2466524640 Enrollment ID: I20080703000025 |
Provider Name | Robert J Klinsky |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568407716 PECOS PAC ID: 5092887273 Enrollment ID: I20080703000035 |
Provider Name | Claire Marie Thorpe Klinsky |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508121344 PECOS PAC ID: 1850538505 Enrollment ID: I20130516000509 |
Provider Name | Justin Groennert |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083230585 PECOS PAC ID: 4789008236 Enrollment ID: I20200716003901 |
Mailing Address | Practice Location Address |
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Lebanon Optometric Center 201 W Saint Louis St, Lebanon, IL 62254-1515 Ph: (618) 537-6356 | Lebanon Optometric Center 201 W Saint Louis St, Lebanon, IL 62254-1515 Ph: (618) 537-6356 |
Justin Groennert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-6356 | |
Dr. Claire M Klinsky, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-6356 Fax: 618-537-6358 | |
Robert Joseph Klinsky, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 103 N Pearl St, Lebanon, IL 62254 Phone: 618-537-6356 Fax: 618-537-6358 | |
Dr. Charissa Lee Thorpe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-6356 Fax: 618-537-6358 |