| Eye Care Professionals Of Peru Od Pc | |
|
1921 4th St, Peru, IL 61354-3309 | |
| (815) 223-0151 | |
| (815) 223-0307 |
| Full Name | Eye Care Professionals Of Peru Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1921 4th St, Peru, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699751701 | NPI | - | NPPES |
| 0284470001 | Other | IL | DMERC REGIONB |
| 05021930 | Other | IL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Illinois) | Primary |
| Provider Name | Michael J Rooney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013993112 PECOS PAC ID: 4486778545 Enrollment ID: I20100915000767 |
| Provider Name | David J Ludford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235115338 PECOS PAC ID: 5395869457 Enrollment ID: I20100915000784 |
| Provider Name | Anthony P Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811973753 PECOS PAC ID: 2668596727 Enrollment ID: I20100915000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Care Professionals Of Peru Od Pc 1921 4th St, Peru, IL 61354-3309 Ph: (815) 223-0151 | Eye Care Professionals Of Peru Od Pc 1921 4th St, Peru, IL 61354-3309 Ph: (815) 223-0151 |
Dr. Michael J Rooney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Dr. David J Ludford, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Diana E Miranda, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5255 State Route 251, Peru, IL 61354 Phone: 815-224-2700 | |
Mr. Joseph Barry Jackson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3323 Frontage Rd, Peru, IL 61354 Phone: 815-220-0652 Fax: 815-220-0732 | |
Dr. Anthony P Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 4th St, Peru, IL 61354 Phone: 815-223-0151 Fax: 815-223-0307 | |
Vep Il Optometric Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5255 State Route 251, Peru, IL 61354 Phone: 815-224-2700 |