| Antioch Eye Associates Od Pc | |
|
884 Hillside Ave, Antioch, IL 60002-1226 | |
| (847) 395-4090 | |
| (847) 395-7378 |
| Full Name | Antioch Eye Associates Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 884 Hillside Ave, Antioch, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033385141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009062 (Illinois) | Secondary |
| 152W00000X | Optometrist | 046007913 (Illinois) | Primary |
| Provider Name | James R Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588791578 PECOS PAC ID: 7517044548 Enrollment ID: I20080401000770 |
| Provider Name | Connie J Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811969512 PECOS PAC ID: 1052587649 Enrollment ID: I20120123000410 |
| Provider Name | Laura Louise Cretors |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003896671 PECOS PAC ID: 1759558331 Enrollment ID: I20120123000439 |
| Provider Name | Christian James Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518702943 PECOS PAC ID: 2163962861 Enrollment ID: I20240909003576 |
| Provider Name | Annika Christine Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679318000 PECOS PAC ID: 0941740492 Enrollment ID: I20240911000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Antioch Eye Associates Od Pc 884 Hillside Ave, Antioch, IL 60002-1226 Ph: (847) 395-4090 | Antioch Eye Associates Od Pc 884 Hillside Ave, Antioch, IL 60002-1226 Ph: (847) 395-4090 |
Laura Cretors, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 884 Hillside Ave, Antioch, IL 60002 Phone: 847-395-4090 Fax: 847-395-7378 | |
Berta Newton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 554 E Il Route 173, Antioch, IL 60002 Phone: 224-603-7189 Fax: 224-788-8656 | |
Dr. Lonn Truong Yang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 473 E Route 173, Antioch, IL 60002 Phone: 847-838-3401 Fax: 847-838-3407 | |
Roger Allen Sona, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 735 Main St, Antioch, IL 60002 Phone: 847-395-8885 Fax: 847-395-8913 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 554 E Il Route 173, Antioch, IL 60002 Phone: 224-603-7189 | |
Oneopto Il 1 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 735 Main St, Antioch, IL 60002 Phone: 847-395-8885 Fax: 847-395-8913 |