| Central Illinois Optometric Associates Ltd | |
|
623 Pulaski St, Lincoln, IL 62656-2825 | |
| (217) 732-9606 | |
| (217) 732-4580 |
| Full Name | Central Illinois Optometric Associates Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 623 Pulaski St, Lincoln, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427174960 | NPI | - | NPPES |
| 0001115000 | Other | IL | BC BS GROUP NUMBER |
| 046008739 | Medicaid | IL | |
| 046008024 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008739 (Illinois) | Secondary |
| 152W00000X | Optometrist | 046008024 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Optometric Associates Ltd 623 Pulaski St, Lincoln, IL 62656-2825 Ph: (217) 732-9606 | Central Illinois Optometric Associates Ltd 623 Pulaski St, Lincoln, IL 62656-2825 Ph: (217) 732-9606 |
Dr. Raymond Todd Nobbe, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1400 Woodlawn Road, Lincoln, IL 62656 Phone: 217-735-2020 Fax: 217-735-5557 | |
J A K Enterprises Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1477 Woodlawn Rd, Lincoln, IL 62656 Phone: 217-735-1707 Fax: 217-735-1903 | |
Nobbe Eye Care Center, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 327 N Kickapoo St, Lincoln, IL 62656 Phone: 217-735-2020 Fax: 217-735-5557 | |
Dr. Sandra Rose Pelfrey-jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1477 Woodlawn Rd, Lincoln, IL 62656 Phone: 217-735-1707 Fax: 217-735-1903 |