Miss Taryn Lee Doherty, OD | |
2120 E Grand Ave, Lindenhurst, IL 60046-9030 | |
(847) 356-2020 | |
Not Available |
Full Name | Miss Taryn Lee Doherty |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 7 Years |
Location | 2120 E Grand Ave, Lindenhurst, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598241416 | NPI | - | NPPES |
046011206 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046011206 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Absolute Vision Care Ii Ltd | 0244366375 | 4 |
Absolute Vision Care Ltd | 2365428760 | 2 |
Provider Name | Absolute Vision Care Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386735884 PECOS PAC ID: 2365428760 Enrollment ID: O20040626000162 |
Provider Name | Absolute Vision Care Iii, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891922100 PECOS PAC ID: 6305991795 Enrollment ID: O20090909000173 |
Provider Name | Absolute Vision Care Ii Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245313626 PECOS PAC ID: 0244366375 Enrollment ID: O20100329000537 |
Mailing Address | Practice Location Address |
---|---|
Miss Taryn Lee Doherty, OD 2120 E Grand Ave, Lindenhurst, IL 60046-9030 Ph: (847) 356-2020 | Miss Taryn Lee Doherty, OD 2120 E Grand Ave, Lindenhurst, IL 60046-9030 Ph: (847) 356-2020 |
Dr. Nae Hyon Kwon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2120 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2900 | |
Dr. James Doherty, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1914 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2020 | |
Accuvision Optometrist Medicare: Medicare Enrolled Practice Location: 1914 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2020 Fax: 847-356-5051 |