| Richard Mark Zajicek, OD | |
|
3141 S Veterans Pkwy, Springfield, IL 62704-6565 | |
| (217) 793-2273 | |
| (217) 793-2278 |
| Full Name | Richard Mark Zajicek |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3141 S Veterans Pkwy, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255479358 | NPI | - | NPPES |
| 047933072 | Other | IL | IL ANCILLARY LIC ALGONQUI |
| 046007387 | Other | IL | STATE GENERAL LICENSE |
| 1684405 | Other | IL | BCBS PROVIDER NUMBER |
| 346000315 | Other | IL | STATE THERAPEUTIC LICENSE |
| 346002621 | Other | IL | IL ANC THERAP ALGONQUIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007387 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Mark Zajicek, OD 720 Wellington Ave, Unit 415, Elk Grove Village, IL 60007-3366 Ph: (847) 340-0877 | Richard Mark Zajicek, OD 3141 S Veterans Pkwy, Springfield, IL 62704-6565 Ph: (217) 793-2273 |
Monica Ryan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 W Iles Ave, Springfield, IL 62704 Phone: 217-698-3030 Fax: 217-698-4728 | |
Dr. Timothy Edwards, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 121 N Grand Ave W, Springfield, IL 62702 Phone: 217-528-3233 Fax: 217-528-4511 | |
Molly Guithues, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3055 Wabash Ave, Springfield, IL 62704 Phone: 217-793-2273 Fax: 217-793-2278 | |
Dr. Scott Blomberg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 121 N Grand Ave W, Springfield, IL 62702 Phone: 217-528-3233 Fax: 217-528-4511 | |
Premier Vision Center Llc Optometrist Medicare: Medicare Enrolled Practice Location: 6900 Preston Dr Ste A, Springfield, IL 62711 Phone: 217-697-8741 | |
Emily Beyer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 W Iles Ave, Springfield, IL 62704 Phone: 217-698-3030 Fax: 217-698-4728 | |
James Patrick Walsh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2300 W White Oaks Dr, Sam's Club Optical, Springfield, IL 62704 Phone: 217-698-7662 Fax: 217-698-7875 |