Geneseo Vision Center Llc | |
112 S Center St, Geneseo, IL 61254-1338 | |
(309) 944-5303 | |
(309) 944-3465 |
Full Name | Geneseo Vision Center Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 112 S Center St, Geneseo, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073909354 | NPI | - | NPPES |
046007958 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 04600798 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Geneseo Vision Center Llc 112 S Center St, Geneseo, IL 61254-1338 Ph: (309) 944-5303 | Geneseo Vision Center Llc 112 S Center St, Geneseo, IL 61254-1338 Ph: (309) 944-5303 |
Dr. Ryan J Wilson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 S Center St, Geneseo, IL 61254 Phone: 309-944-5303 Fax: 309-944-3465 | |
William A Bordwell, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 112 S Center St, Geneseo, IL 61254 Phone: 309-944-5303 Fax: 309-944-3465 |