Tyler Ridge Vision Care, Ltd. | |
1001 E Main St, #c, Saint Charles, IL 60174-2202 | |
(630) 584-1111 | |
(630) 584-1239 |
Full Name | Tyler Ridge Vision Care, Ltd. |
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Type | Facility |
Speciality | Optometrist |
Location | 1001 E Main St, Saint Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225052301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 46-008116 (Illinois) | Primary |
Provider Name | Douglas Aaron Yuvan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043234263 PECOS PAC ID: 8022087162 Enrollment ID: I20051111000043 |
Provider Name | Mark Wayne Kramer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558393504 PECOS PAC ID: 4486623527 Enrollment ID: I20100813000133 |
Provider Name | Kevin D Goodwin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740697408 PECOS PAC ID: 5193061836 Enrollment ID: I20190116003037 |
Mailing Address | Practice Location Address |
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Tyler Ridge Vision Care, Ltd. 1001 E. Main St., #c, Saint Charles, IL 60174 Ph: (630) 584-1111 | Tyler Ridge Vision Care, Ltd. 1001 E Main St, #c, Saint Charles, IL 60174-2202 Ph: (630) 584-1111 |
Dr. Douglas Aaron Yuvan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St, #c, Saint Charles, IL 60174 Phone: 630-584-1111 Fax: 630-584-1239 | |
Dr. Tyler Doersam, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 118 Lakeside Dr, Apt 434, Saint Charles, IL 60174 Phone: 815-821-3088 | |
Dr. Mark W. Kramer, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St, Suite C, Saint Charles, IL 60174 Phone: 630-584-1111 Fax: 630-584-1239 |