| Nicole Lowrey, MD, PHD | |
| 705 Insight Ave, O Fallon, IL 62269-2146 | |
| (618) 391-1660 | |
| (618) 861-6003 | 
| Full Name | Nicole Lowrey | 
|---|---|
| Gender | Female | 
| Speciality | Ophthalmology | 
| Location | 705 Insight Ave, O Fallon, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356902381 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | 2019018196 (Missouri) | Primary | 
| 207W00000X | Ophthalmology | 036166546 (Illinois) | Secondary | 
| Entity Name | Jersey Community Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 | 
| Entity Name | Ideal Eye Surgery Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366966186 PECOS PAC ID: 7315200888 Enrollment ID: O20180416000436 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicole Lowrey, MD, PHD 705 Insight Ave, O Fallon, IL 62269-2146 Ph: (618) 391-1660 | Nicole Lowrey, MD, PHD 705 Insight Ave, O Fallon, IL 62269-2146 Ph: (618) 391-1660 | 
| Dr. Michael Vincent Stock, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 705 Insight Ave, O Fallon, IL 62269 Phone: 618-391-1660 Fax: 618-861-6003 | |
| Dr. Wesley C Green, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 705 Insight Ave, O Fallon, IL 62269 Phone: 618-738-0337 | |
| Whitney Marlow, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 705 Insight Ave, O Fallon, IL 62269 Phone: 618-391-1660 Fax: 618-861-6003 |