| Mid-state Eye Partners Inc | |
|
102 N Heinlein Dr, Shelbyville, IL 62565-9050 | |
| (217) 774-4422 | |
| (217) 772-4722 |
| Full Name | Mid-state Eye Partners Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 102 N Heinlein Dr, Shelbyville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487005484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010631 (Illinois) | Primary |
| Provider Name | Jason A Dunn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346538154 PECOS PAC ID: 1951574391 Enrollment ID: I20111101000295 |
| Provider Name | Bradley Grant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386836518 PECOS PAC ID: 2163598939 Enrollment ID: I20130410000207 |
| Provider Name | Caitlin Gaughan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437757473 PECOS PAC ID: 5991119166 Enrollment ID: I20210129000098 |
| Provider Name | Paige A Reese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205357563 PECOS PAC ID: 5193084820 Enrollment ID: I20210201000119 |
| Provider Name | Zachary L Thomason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285309591 PECOS PAC ID: 2860898103 Enrollment ID: I20210910002630 |
| Provider Name | Elsie Rodriguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518743913 PECOS PAC ID: 2365896529 Enrollment ID: I20230922000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-state Eye Partners Inc 90 Clubview Pl, Decatur, IL 62521-2515 Ph: (217) 772-4422 | Mid-state Eye Partners Inc 102 N Heinlein Dr, Shelbyville, IL 62565-9050 Ph: (217) 774-4422 |
Caitlin Gaughan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 N Heinlein Dr, Shelbyville, IL 62565 Phone: 217-774-4422 | |
Dr. Theodore E Bogart, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: West Route 16, Shelbyville, IL 62565 Phone: 217-774-4422 Fax: 217-774-4722 | |
Joseph T Marcin Jr., Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1401 W Main St, Shelbyville, IL 62565 Phone: 217-774-2181 Fax: 217-774-3104 |