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3136 N Lincoln Ave, Chicago, IL 60657-3117 | |
| (773) 871-8210 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3136 N Lincoln Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508986175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | IL046007178 (Illinois) | Primary |
| Provider Name | Elizabeth S Mokaya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659420925 PECOS PAC ID: 7810095320 Enrollment ID: I20070607000118 |
| Provider Name | Ralph Steven Geiderman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073633681 PECOS PAC ID: 7113249277 Enrollment ID: I20141222000503 |
| Provider Name | Andrea Jean Johnson-grote |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447370077 PECOS PAC ID: 1557685906 Enrollment ID: I20150113002477 |
| Provider Name | Greta Gregg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134787559 PECOS PAC ID: 5294068987 Enrollment ID: I20190612001406 |
| Mailing Address | Practice Location Address |
|---|---|
3136 N Lincoln Ave, Chicago, IL 60657-3117 Ph: (773) 871-8210 | 3136 N Lincoln Ave, Chicago, IL 60657-3117 Ph: (773) 871-8210 |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 | |
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774 |