Mr Daniel A Nielsen, OD | |
611 W Park St, Optometry, Urbana, IL 61801-2500 | |
(217) 383-3150 | |
(217) 383-4845 |
Full Name | Mr Daniel A Nielsen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 24 Years |
Location | 611 W Park St, Urbana, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205980778 | NPI | - | NPPES |
410043693 | Other | PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046009298 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle Health Care Incorporated | 3577515774 | 799 |
Provider Name | Carle Health Care Incorporated |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel A Nielsen, OD 611 W Park St, Bwpc, Urbana, IL 61801 Ph: () - | Mr Daniel A Nielsen, OD 611 W Park St, Optometry, Urbana, IL 61801-2500 Ph: (217) 383-3150 |
David H Ellis, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Ophthalmology/optometry, Urbana, IL 61801 Phone: 217-383-3150 Fax: 217-383-4845 | |
D. Scott Ohl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Ophthalmology/optometry, Urbana, IL 61801 Phone: 217-383-3150 Fax: 217-383-4845 | |
David A Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Opthalmology/optometry, Urbana, IL 61801 Phone: 217-383-3150 Fax: 217-383-4845 | |
James F Faron, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Ophthalmology/optometry, Urbana, IL 61801 Phone: 217-383-3150 Fax: 217-383-4645 | |
Greigham J Hopkins, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3150 Fax: 217-383-4845 | |
Thomas P Malee, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 602 W University Avenue, Ophthalmology/optometry, Urbana, IL 61801 Phone: 217-383-3150 Fax: 217-383-4845 |