| Blanco Kays Corgiat Eyecare, Llc | |
|
200 W Dakota St, Spring Valley, IL 61362-1906 | |
| (815) 663-8281 | |
| (815) 663-8190 |
| Full Name | Blanco Kays Corgiat Eyecare, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 200 W Dakota St, Spring Valley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215204169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046006809 (Illinois) | Primary |
| Provider Name | Elise M Corgiat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831182328 PECOS PAC ID: 5597790477 Enrollment ID: I20050929000142 |
| Provider Name | Jeffrey J Blanco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952454191 PECOS PAC ID: 6709806409 Enrollment ID: I20051128000341 |
| Provider Name | Ryan H Kays |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578640744 PECOS PAC ID: 0648279356 Enrollment ID: I20061206000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Blanco Kays Corgiat Eyecare, Llc 200 W Dakota St, Spring Valley, IL 61362-1906 Ph: (815) 663-8281 | Blanco Kays Corgiat Eyecare, Llc 200 W Dakota St, Spring Valley, IL 61362-1906 Ph: (815) 663-8281 |
Lauren Elizabeth Uhlenhopp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Richard A Mautino Dr, Spring Valley, IL 61362 Phone: 815-664-5331 | |
Kent Kunkel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Richard A Mautino Dr, Spring Valley, IL 61362 Phone: 815-664-5331 Fax: 815-663-5057 | |
Illinois Valley Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 215 Richard A Mautino Dr, Spring Valley, IL 61362 Phone: 815-664-5331 Fax: 815-663-5057 | |
Beth Kunkel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Richard A Mautino Dr, Spring Valley, IL 61362 Phone: 815-664-5331 Fax: 815-663-5057 |