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2865 Homer Adams Pkwy, Alton, IL 62002-4856 | |
| (618) 465-1654 | |
| (618) 465-8652 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2865 Homer Adams Pkwy, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598114001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Dirk F Massie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972510345 PECOS PAC ID: 0749205813 Enrollment ID: I20051010000129 |
| Provider Name | William K Wright |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790894673 PECOS PAC ID: 2860597804 Enrollment ID: I20070419000203 |
| Provider Name | Marcus Andrew Cuff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588952501 PECOS PAC ID: 9830363670 Enrollment ID: I20111114000363 |
| Mailing Address | Practice Location Address |
|---|---|
2865 Homer Adams Pkwy, Alton, IL 62002-4856 Ph: (618) 465-1654 | 2865 Homer Adams Pkwy, Alton, IL 62002-4856 Ph: (618) 465-1654 |
Aeg Delaware Professional Pa Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 | |
Aeg Connecticut Professional Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947 | |
Dr. James Walter Lieber, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 401 Henry St, Alton, IL 62002 Phone: 618-465-6000 | |
Mark D. Wade O D P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947 | |