| Performance Eyecare Pc | |
|
4111 N Illinois St, Swansea, IL 62226-7609 | |
| (618) 234-3053 | |
| (618) 234-6331 |
| Full Name | Performance Eyecare Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4111 N Illinois St, Swansea, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265527394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 469417 (Illinois) | Primary |
| Provider Name | Dirk F Massie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972510345 PECOS PAC ID: 0749205813 Enrollment ID: I20051010000129 |
| 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 |
|---|---|
| Performance Eyecare Pc 4111 N Illinois St, Swansea, IL 62226-7609 Ph: (618) 234-3053 | Performance Eyecare Pc 4111 N Illinois St, Swansea, IL 62226-7609 Ph: (618) 234-3053 |
Jonathan Kingsley, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1 Park Pl, Swansea, IL 62226 Phone: 618-233-3040 Fax: 618-233-3739 | |
Vision Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 4933 Benchmark Centre Dr, Suite D, Swansea, IL 62226 Phone: 618-628-3939 Fax: 618-628-3959 | |
Nicholas Alan Holtzman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Park Pl, Swansea, IL 62226 Phone: 618-233-3040 Fax: 618-233-3739 | |
Quantum Vision Centers Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3990 N Illinois, Swansea, IL 62226 Phone: 636-200-4393 Fax: 618-277-6651 | |
John Bush, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 618-277-1130 Fax: 618-277-4917 | |
Quantum Vision Centers Optometrist Medicare: Medicare Enrolled Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 636-200-4393 Fax: 618-277-6651 |