| Vision Salon Eye Care Associates | |
|
12812 Western Ave, Blue Island, IL 60406-2118 | |
| (708) 385-0013 | |
| (708) 385-1175 |
| Full Name | Vision Salon Eye Care Associates |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12812 Western Ave, Blue Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487727046 | NPI | - | NPPES |
| 1636075 | Other | IL | BCBS OF IL ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Ansel T Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023106309 PECOS PAC ID: 4880597293 Enrollment ID: I20040203000531 |
| Provider Name | Leonidas A Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912022641 PECOS PAC ID: 1456431485 Enrollment ID: I20181224000171 |
| Provider Name | Dana Shari Shannon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194498550 PECOS PAC ID: 2365824075 Enrollment ID: I20220727003227 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Salon Eye Care Associates 12812 Western Ave, Blue Island, IL 60406-2118 Ph: (708) 385-0013 | Vision Salon Eye Care Associates 12812 Western Ave, Blue Island, IL 60406-2118 Ph: (708) 385-0013 |
Dr. Ansel T Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Eiman Yousif Gafour, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Meyer Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 Fax: 708-810-9726 | |
Dr. Jill C Ingelse, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 Fax: 708-810-9726 | |
Daniel Ahrens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 S Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 | |
Vision Salon Eye Care Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13046 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 |