| |
902 S Court St, Suite #1, Tuscola, IL 61953-2000 | |
(217) 253-2220 | |
(217) 253-2292 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 902 S Court St, Tuscola, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750619037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 047008823 (Illinois) | Primary |
Provider Name | Jamison T Boyd |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326008137 PECOS PAC ID: 2365450319 Enrollment ID: I20060404000492 |
Provider Name | Robert James Blumthal |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578568077 PECOS PAC ID: 4981728706 Enrollment ID: I20100901000084 |
Mailing Address | Practice Location Address |
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902 S Court St, Suite #1, Tuscola, IL 61953-2000 Ph: (217) 253-2220 | 902 S Court St, Suite #1, Tuscola, IL 61953-2000 Ph: (217) 253-2220 |
Jamison T Boyd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 902 S Court St, Suite #1, Tuscola, IL 61953 Phone: 217-235-2220 Fax: 217-253-2292 |