Susan M Penner, OD | |
134 E Blackhawk Dr, Byron, IL 61010 | |
(815) 234-2020 | |
(815) 234-7070 |
Full Name | Susan M Penner |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 37 Years |
Location | 134 E Blackhawk Dr, Byron, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891842464 | NPI | - | NPPES |
L08182 | Other | IL | PIN |
046-008009 | Other | IL | OPTOMETRY LICENSE |
4515286 | Other | IL | BLUE CROSS BLUE SHIELD |
7184011 | Other | IL | BLUE CROSS BLUE SHIELD |
CL7273 | Other | IL | RAILROAD MEDICARE GROUP |
410033446 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046-008009 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christina J. Levi O D P C. | 9436210762 | 38 |
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 |
---|---|
Susan M Penner, OD 134 E Blackhawk Dr, Byron, IL 61010-8610 Ph: (815) 234-2020 | Susan M Penner, OD 134 E Blackhawk Dr, Byron, IL 61010 Ph: (815) 234-2020 |
Eyecare Dimensions Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 | |
Eyecare Dimensions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 | |
Kush Patel, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 |