Von Holten Eyecare, Ltd. | |
25824 W Eames St, Channahon, IL 60410-5313 | |
(815) 521-9950 | |
Not Available |
Full Name | Von Holten Eyecare, Ltd. |
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Type | Facility |
Speciality | Optometrist |
Location | 25824 W Eames St, Channahon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508889866 | NPI | - | NPPES |
213926 | Other | IL | PTAN |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 046009558 (Illinois) | Primary |
Provider Name | Ryan Lynn Vonholten |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013976042 PECOS PAC ID: 3577546936 Enrollment ID: I20040608001083 |
Mailing Address | Practice Location Address |
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Von Holten Eyecare, Ltd. 24541 S Blackhawk Dr, Channahon, IL 60410-9303 Ph: (815) 922-3545 | Von Holten Eyecare, Ltd. 25824 W Eames St, Channahon, IL 60410-5313 Ph: (815) 521-9950 |
Dr. Ryan Lynn Von Holten, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25824 W Eames St, Channahon, IL 60410 Phone: 815-521-9950 | |
Advanced Focus Vision Center Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 24735 W Eames St, Suite 11, Channahon, IL 60410 Phone: 815-467-0077 Fax: 815-467-0088 |