Dr Ryan Scott Thoele, OD | |
1505 W Main St, Mt Zion, IL 62549-1300 | |
(217) 864-3221 | |
(217) 596-4670 |
Full Name | Dr Ryan Scott Thoele |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 13 Years |
Location | 1505 W Main St, Mt Zion, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700144029 | NPI | - | NPPES |
1700144029 | Medicaid | IL | |
1700144029 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046010469 (Illinois) | Primary |
152W00000X | Optometrist | 2013000824 (Missouri) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
International Eyecare Center Llc | 0244125235 | 23 |
Provider Name | International Eyecare Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760405047 PECOS PAC ID: 0244125235 Enrollment ID: O20040218000758 |
Provider Name | Christina J. Levi O D P C. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477703411 PECOS PAC ID: 9436210762 Enrollment ID: O20081205000160 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Scott Thoele, OD 2445 Broadway St, Quincy, IL 62301-3257 Ph: (217) 222-8800 | Dr Ryan Scott Thoele, OD 1505 W Main St, Mt Zion, IL 62549-1300 Ph: (217) 864-3221 |
Timothy Delbert Busey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1505 W Main St, Mt Zion, IL 62549 Phone: 217-864-3221 Fax: 217-864-3345 | |
Temmen Advanced Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1505 W Main, Mt Zion, IL 62549 Phone: 217-864-3221 Fax: 217-864-3345 | |
International Eyecare Center Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1505 W Main St, Mt Zion, IL 62549 Phone: 217-864-3221 |