Dennis Dettmann, O.d. S.c. | |
5039 Main St, Lisle, IL 60532-2246 | |
(630) 257-6493 | |
(630) 243-6293 |
Full Name | Dennis Dettmann, O.d. S.c. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 5039 Main St, Lisle, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265426217 | NPI | - | NPPES |
046007054 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046007054 (Illinois) | Primary |
Provider Name | Dennis E Dettmann |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609877455 PECOS PAC ID: 8224017587 Enrollment ID: I20040812000233 |
Mailing Address | Practice Location Address |
---|---|
Dennis Dettmann, O.d. S.c. 5039 Main St, Lisle, IL 60532-2246 Ph: (630) 257-6493 | Dennis Dettmann, O.d. S.c. 5039 Main St, Lisle, IL 60532-2246 Ph: (630) 257-6493 |
Eye To Eye Care, Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5170 Burnham St, Lisle, IL 60532 Phone: 630-428-9852 | |
Expert Eyecare Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3060 Ogden Ave, Ste 210, Lisle, IL 60532 Phone: 630-355-0789 | |
Hui Fang Yu, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3060 Ogden Ave, Ste 210, Lisle, IL 60532 Phone: 630-355-0789 Fax: 630-357-4457 | |
Dr. Julie M Ensinger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4760 Main St, Lisle, IL 60532 Phone: 630-969-2020 Fax: 630-969-2020 | |
Dr. Charmi M Patel, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4760 Main St, Choice Eye Care, Lisle, IL 60532 Phone: 630-969-2020 Fax: 630-969-1415 | |
Looksmart Optical Il, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2781 Maple Ave, Lisle, IL 60532 Phone: 630-904-6000 Fax: 630-904-6008 |