Dr Winona Marie Van Houten, OD | |
1705 W Morton Ave, Jacksonville, IL 62650-2719 | |
(217) 245-6070 | |
Not Available |
Full Name | Dr Winona Marie Van Houten |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1705 W Morton Ave, Jacksonville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326246489 | NPI | - | NPPES |
IL9980 | Other | EYEMED | |
310350509 | Medicaid | MO | |
138476 | Other | HEALTH ALLIANCE | |
P00418696, CA2196 | Other | MEDICARE RAILROAD | |
046009980 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.009980 (Illinois) | Primary |
Provider Name | Bergh-white Opticians Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255491775 PECOS PAC ID: 4082663125 Enrollment ID: O20050117000070 |
Mailing Address | Practice Location Address |
---|---|
Dr Winona Marie Van Houten, OD 4891 Smith Rd, Pleasant Plains, IL 62677-3997 Ph: (217) 361-6286 | Dr Winona Marie Van Houten, OD 1705 W Morton Ave, Jacksonville, IL 62650-2719 Ph: (217) 245-6070 |
Bard Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1689 W Morton Ave, Jacksonville, IL 62650 Phone: 217-243-6506 Fax: 217-243-4902 | |
Midwest Eye Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1122 Veterans Dr, Suite B, Jacksonville, IL 62650 Phone: 217-245-9581 Fax: 217-529-0968 | |
Dr. Lori Ann Feezor-ribble, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1964 W Morton Ave, Jacksonville, IL 62650 Phone: 217-245-6070 | |
Ayhubrhan Yifru, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1233 W Morton Ave Ste C, Jacksonville, IL 62650 Phone: 217-245-8800 | |
Kaleigh Morgan Albers, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2000 W Morton Ave, Jacksonville, IL 62650 Phone: 217-245-6814 | |
Braden G. Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 |