| Optometric Eyecare Inc. | |
|
303 E Main St, Olney, IL 62450 | |
| (618) 395-2676 | |
| (618) 395-2720 |
| Full Name | Optometric Eyecare Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 303 E Main St, Olney, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609041342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-008793 (Illinois) | Primary |
| 261QH0100X | Clinic/center - Health Service | 3840-6969 (Illinois) | Secondary |
| Provider Name | Clark E Deshon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861482309 PECOS PAC ID: 6305895012 Enrollment ID: I20050120000370 |
| Provider Name | Daniel J Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801883129 PECOS PAC ID: 4284729708 Enrollment ID: I20070928000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Optometric Eyecare Inc. 303 E Main St, Olney, IL 62450-2117 Ph: (618) 395-2676 | Optometric Eyecare Inc. 303 E Main St, Olney, IL 62450 Ph: (618) 395-2676 |
Funkeye Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Olney Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 303 E Main St, Olney, IL 62450 Phone: 618-395-2676 | |
Dr Daniel J Brown, Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 W Main St, Olney, IL 62450 Phone: 618-395-2020 Fax: 618-395-2020 | |
Marion Eye Centers Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 902 E Locust St, Olney, IL 62450 Phone: 618-392-2020 Fax: 618-392-0646 | |
Dr. Tina M Funk, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Ste. 2, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Dr. Daniel Joseph Brown, OD Optometrist Medicare: Medicare Enrolled Practice Location: 303 E Main St, Olney, IL 62450 Phone: 618-395-2676 Fax: 618-395-2720 |