Prairie Eye & Lasik Center - Medicare in Springfield, IL

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Prairie Eye & Lasik Center is a medicare enrolled "Ophthalmology" provider in Springfield, Illinois. Their current practice location is 2020 W Iles Ave, Springfield, Illinois. You can reach out to their office (for appointments etc.) via phone at (217) 698-3030.

Prairie Eye & Lasik Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Prairie Eye & Lasik Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1447222864.

Contact Information

Prairie Eye & Lasik Center
2020 W Iles Ave,
Springfield, IL 62704-4174
(217) 698-3030
(217) 698-4728

Map and Direction




Healthcare Provider's Profile

Full NamePrairie Eye & Lasik Center
TypeFacility
SpecialityOphthalmology
Location2020 W Iles Ave, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447222864
  • Provider Enumeration Date: 02/02/2006
  • Last Update Date: 02/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507779824
  • Enrollment ID: O20031111000811

Medical Identifiers

Medical identifiers for Prairie Eye & Lasik Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447222864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 042-000760 (Illinois)Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prairie Eye & Lasik Center acts as a billing entity for following providers:
Provider NameJennifer M Waller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861440612
PECOS PAC ID: 7618955154
Enrollment ID: I20040710000271
Provider NameBart A Jones
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1447256797
PECOS PAC ID: 7618944422
Enrollment ID: I20040913000209
Provider NameTonya Bourn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851340152
PECOS PAC ID: 8527017664
Enrollment ID: I20050117000088
Provider NameThucanh T Multerer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1053303362
PECOS PAC ID: 2466483284
Enrollment ID: I20050822000990
Provider NameTyson J Herrmann
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427099951
PECOS PAC ID: 4880605849
Enrollment ID: I20060505000633
Provider NameMichael P Jones
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164589164
PECOS PAC ID: 7315047479
Enrollment ID: I20070703000337
Provider NamePhillip D Alward
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699735415
PECOS PAC ID: 1759359169
Enrollment ID: I20080304000618
Provider NameChelsey M Moore
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235440777
PECOS PAC ID: 0446384044
Enrollment ID: I20100818000756
Provider NameSandra Waiseng Yeh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841248838
PECOS PAC ID: 0547173874
Enrollment ID: I20100901000045
Provider NameRobert James Blumthal
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578568077
PECOS PAC ID: 4981728706
Enrollment ID: I20100901000084
Provider NameAnkur Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1851590343
PECOS PAC ID: 6507058120
Enrollment ID: I20101014000074
Provider NameBrian M Moore
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033420575
PECOS PAC ID: 9537354956
Enrollment ID: I20101111000523
Provider NameWilliam Yang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790979011
PECOS PAC ID: 9638227614
Enrollment ID: I20110126000598
Provider NameElizabeth R Heideman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619256013
PECOS PAC ID: 2769653666
Enrollment ID: I20110926000902
Provider NameMelissa Schleeper Kiel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1750511242
PECOS PAC ID: 7416196266
Enrollment ID: I20130627000034
Provider NameMohamed Gendy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508183427
PECOS PAC ID: 7012150139
Enrollment ID: I20150530000158
Provider NameMonica Ryan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003298803
PECOS PAC ID: 8224343553
Enrollment ID: I20150817000812
Provider NameEmily Marie Beyer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063862266
PECOS PAC ID: 3072804020
Enrollment ID: I20160622000198
Provider NameNisha Gupta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1659665263
PECOS PAC ID: 5395985428
Enrollment ID: I20160908000845
Provider NameKaylyn Marie Nickelson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467930735
PECOS PAC ID: 3779833587
Enrollment ID: I20180829000000
Provider NameSara Marie Siebert
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841778115
PECOS PAC ID: 8325398167
Enrollment ID: I20180829001438
Provider NameAlexander R Kane
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336766377
PECOS PAC ID: 1355765470
Enrollment ID: I20200722002967
Provider NameRaja S Goli
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598719940
PECOS PAC ID: 2961492863
Enrollment ID: I20211228001841
Provider NameAlex Willis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1316442288
PECOS PAC ID: 7214287069
Enrollment ID: I20221027001711
Provider NameKenneth D. Farr
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740366244
PECOS PAC ID: 4688606833
Enrollment ID: I20230303001325
Provider NameKaleigh M Albers
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477252948
PECOS PAC ID: 2365816345
Enrollment ID: I20230314001395
Provider NameAbdulrahman K Rageh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770070146
PECOS PAC ID: 6305240458
Enrollment ID: I20230323001428

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prairie Eye & Lasik Center is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prairie Eye & Lasik Center
2020 W Iles Ave,
Springfield, IL 62704-4174

Ph: (217) 698-3030		Prairie Eye & Lasik Center
2020 W Iles Ave,
Springfield, IL 62704-4174

Ph: (217) 698-3030

Reviews and Comments



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