| Lavender Streiff Pc | |
|
117 W Main St, Bensenville, IL 60106-2133 | |
| (630) 860-5066 | |
| Not Available |
| Full Name | Lavender Streiff Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 117 W Main St, Bensenville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518154350 | NPI | - | NPPES |
| DN7492 | Other | IL | RAILROAD MEDICARE |
| 1634550 | Other | IL | BLUE CROSS BLUE SHIELD |
| 046009684 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009684 (Illinois) | Primary |
| Provider Name | Lavender S Streiff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467432336 PECOS PAC ID: 4587623889 Enrollment ID: I20041004000320 |
| Provider Name | Gretchen Lynn Maynard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194105635 PECOS PAC ID: 4385952332 Enrollment ID: I20150924002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Streiff Pc 117 W Main St, Bensenville, IL 60106-2133 Ph: (630) 860-5066 | Lavender Streiff Pc 117 W Main St, Bensenville, IL 60106-2133 Ph: (630) 860-5066 |
Christin Rae Hand, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 117 W Main St, Bensenville, IL 60106 Phone: 630-860-5066 Fax: 630-860-5075 | |
Gretchen Lynn Maynard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 117 W Main St, Bensenville, IL 60106 Phone: 630-860-5066 | |
Galina Nikolova, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 117 W Main St, Bensenville, IL 60106 Phone: 630-860-5066 |