| Pontiac Family Eye Care Llc | |
|
320 N Ladd St, Pontiac, IL 61764-1612 | |
| (815) 842-4304 | |
| (815) 844-5495 |
| Full Name | Pontiac Family Eye Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 320 N Ladd St, Pontiac, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700286143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bryan Stoller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316946338 PECOS PAC ID: 3577452176 Enrollment ID: I20040326000203 |
| Provider Name | Sasha Radford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124009162 PECOS PAC ID: 9537115068 Enrollment ID: I20120420000605 |
| Provider Name | Janelle Joyce Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538556915 PECOS PAC ID: 6800108978 Enrollment ID: I20150701002066 |
| Mailing Address | Practice Location Address |
|---|---|
| Pontiac Family Eye Care Llc 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 843-4304 | Pontiac Family Eye Care Llc 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 842-4304 |
Family Eye Care Of Pontiac, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 815-844-5495 | |
Sasha L Radford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 | |
Dr. Brian D Henson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 815-419-2019 Fax: 815-419-2021 | |
Bard Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 309-693-9540 Fax: 309-693-9754 | |
Dr. Param Jeet Singh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1706 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2439 | |
Dr. Bryan Matthew Stoller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 815-844-5495 | |
Dr. Reid Allen Pettit, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 845-844-5495 |