| Meyer Eyecare Inc | |
|
13114 Western Ave, Blue Island, IL 60406-2439 | |
| (708) 388-1228 | |
| (708) 388-1696 |
| Full Name | Meyer Eyecare Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 13114 Western Ave, Blue Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114169745 | NPI | - | NPPES |
| 046009096 | Medicaid | IL | |
| 1634291 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009096 (Illinois) | Primary |
| Provider Name | Jill C Ingelse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528058443 PECOS PAC ID: 0042359606 Enrollment ID: I20091120000437 |
| Provider Name | Daniel L Ahrens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700299658 PECOS PAC ID: 6800011834 Enrollment ID: I20140708001824 |
| Provider Name | Jasmine Lopez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063291201 PECOS PAC ID: 5799135778 Enrollment ID: I20240103002583 |
| Mailing Address | Practice Location Address |
|---|---|
| Meyer Eyecare Inc 13114 Western Ave, Blue Island, IL 60406-2439 Ph: (708) 388-1228 | Meyer Eyecare Inc 13114 Western Ave, Blue Island, IL 60406-2439 Ph: (708) 388-1228 |
Dr. Ansel T Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Eiman Yousif Gafour, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Dana Shari Shannon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 | |
Vision Salon Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 12812 Western Ave, Blue Island, IL 60406 Phone: 708-385-0013 Fax: 708-385-1175 | |
Dr. Jill C Ingelse, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 Fax: 708-388-1696 | |
Daniel Ahrens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13114 S Western Ave, Blue Island, IL 60406 Phone: 708-388-1228 |