| Advanced Wellness Eyecare Llc | |
|
905 W Mefford St, Robinson, IL 62454-1065 | |
| (618) 544-3525 | |
| Not Available |
| Full Name | Advanced Wellness Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 905 W Mefford St, Robinson, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659821510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008222 (Illinois) | Secondary |
| 152W00000X | Optometrist | 046007815 (Illinois) | Secondary |
| 152W00000X | Optometrist | 046010857 (Illinois) | Primary |
| Provider Name | Tammy L M Wieties |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467453993 PECOS PAC ID: 2163606054 Enrollment ID: I20110419000135 |
| Provider Name | Kimberly D Alumbaugh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780991133 PECOS PAC ID: 8527247790 Enrollment ID: I20150410001594 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wellness Eyecare Llc 905 W Mefford St, Robinson, IL 62454-1065 Ph: (618) 544-3525 | Advanced Wellness Eyecare Llc 905 W Mefford St, Robinson, IL 62454-1065 Ph: (618) 544-3525 |
Redwell & Wieties Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 905 W Mefford St, Robinson, IL 62454 Phone: 618-544-3525 Fax: 618-544-3261 | |
Mrs. Tammy Lynn Wieties, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 905 W Mefford St, Robinson, IL 62454 Phone: 618-544-3525 Fax: 618-544-3261 | |
William H Bedwell Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 905 W Mefford, Robinson, IL 62454 Phone: 618-544-3525 Fax: 618-544-3261 | |
Mrs. Kimberly Dawn Alumbaugh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 905 W Mefford St, Robinson, IL 62454 Phone: 618-544-3525 |