| Moda Eyecare | |
|
225 Park Avenue, Clarendon Hills, IL 60514-1301 | |
| (630) 323-3202 | |
| Not Available |
| Full Name | Moda Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 225 Park Avenue, Clarendon Hills, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831613876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 46.010151 (Illinois) | Primary |
| Provider Name | Mirjana Dordevic Mccarthy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225284979 PECOS PAC ID: 7719053826 Enrollment ID: I20080912000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Moda Eyecare 225 Park Avenue, Clarendon Hills, IL 60514-1301 Ph: () - | Moda Eyecare 225 Park Avenue, Clarendon Hills, IL 60514-1301 Ph: (630) 323-3202 |
Philippou Eye Associates Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 403 Ogden Ave, Clarendon Hills, IL 60514 Phone: 630-887-7797 Fax: 630-887-8683 | |
Donald V Maduzia Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 203 Railroad Ave, Clarendon Hills, IL 60514 Phone: 630-323-3202 Fax: 630-321-0512 | |
Dr. Mirjana Dordevic Mccarthy, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 225 Park Avenue, Clarendon Hills, IL 60514 Phone: 630-323-3202 Fax: 630-321-0512 | |
Charles Philippou, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 403 E Ogden, Clarendon Hills, IL 60514 Phone: 630-887-7797 | |
Dr. Corrinne S. Carhoun, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 99 Park Ave., Ste. 202, Clarendon Hills, IL 60514 Phone: 630-986-0280 | |
Donald Maduzia, OD Optometrist Medicare: Medicare Enrolled Practice Location: 203 Railroad Drive, Donald Maduzia Od, Clarendon Hills, IL 60514 Phone: 630-323-3202 Fax: 630-321-0512 | |
Donald V Maduzia O.d. P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 203 Railroad Avenue, Clarendon Hills, IL 60514 Phone: 630-323-3202 Fax: 630-321-0512 |