Lynley E Atwood, Llc | |
422 W Bethalto Dr, Bethalto, IL 62010 | |
(618) 377-5221 | |
Not Available |
Full Name | Lynley E Atwood, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 422 W Bethalto Dr, Bethalto, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134636491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.011008 (Illinois) | Primary |
152W00000X | Optometrist | 046.007313 (Illinois) | Secondary |
Provider Name | Mark A Ellison |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952509424 PECOS PAC ID: 3779524111 Enrollment ID: I20070912000316 |
Provider Name | Lynley Elizabeth Atwood |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437508785 PECOS PAC ID: 1254624430 Enrollment ID: I20160726001199 |
Provider Name | Shelby Nicole Griggs |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912781931 PECOS PAC ID: 5799130209 Enrollment ID: I20231018000686 |
Mailing Address | Practice Location Address |
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Lynley E Atwood, Llc 422 W Bethalto Dr, Bethalto, IL 62010-1910 Ph: (618) 377-5221 | Lynley E Atwood, Llc 422 W Bethalto Dr, Bethalto, IL 62010 Ph: (618) 377-5221 |
Family Vision Care Of Southern Illinois Optometrist Medicare: Not Enrolled in Medicare Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 Fax: 618-377-5220 | |
Dr. Lynley Atwood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 | |
Dr. Shelby Nicole Griggs, OD Optometrist Medicare: Medicare Enrolled Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 | |
Dr. Mark Allen Ellison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 422 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-5221 Fax: 618-377-5220 |