| Drs Long & Dunlap | |
|
42 Briarcliff Professional Center, Bourbonnais, IL 60914 | |
| (815) 932-1116 | |
| (815) 932-9919 |
| Full Name | Drs Long & Dunlap |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 42 Briarcliff Professional Center, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073647293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 469363 (Illinois) | Primary |
| Provider Name | Brent P Dunlap |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760557698 PECOS PAC ID: 9436174869 Enrollment ID: I20051018000244 |
| Provider Name | Lisa M Jeziorny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588951222 PECOS PAC ID: 7416127857 Enrollment ID: I20110823000476 |
| Provider Name | Tayler R Peachey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053795906 PECOS PAC ID: 0446565535 Enrollment ID: I20150819006674 |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Long & Dunlap 42 Briarcliff Professional Center, Bourbonnais, IL 60914 Ph: (815) 932-1116 | Drs Long & Dunlap 42 Briarcliff Professional Center, Bourbonnais, IL 60914 Ph: (815) 932-1116 |
Dr. Karyn Bassett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 N Sr 50, Pearle Vision, Bourbonnais, IL 60914 Phone: 815-935-0404 Fax: 815-935-0489 | |
Dr. Tayler Peachey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 719 Almar Pkwy, Bourbonnais, IL 60914 Phone: 815-932-1116 | |
Deborah Ann Totos, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 N State Route 50, Rm 580 Northfield Square, Bourbonnais, IL 60914 Phone: 815-935-0404 Fax: 815-935-0489 | |
Dr. Dimple Mukesh Soni, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1602 N State Route 50, Bourbonnais, IL 60914 Phone: 815-932-2200 | |
Dr. Erik Ranta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 W River St, Bourbonnais, IL 60914 Phone: 708-289-0225 | |
Meyer Optical Co. Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 135 W River St, Bourbonnais, IL 60914 Phone: 815-939-2222 Fax: 815-939-0970 |