| Black Eye Group, L.l.c. | |
|
16660 S Windsor Ln, Lockport, IL 60441-6286 | |
| (510) 847-6959 | |
| Not Available |
| Full Name | Black Eye Group, L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 16660 S Windsor Ln, Lockport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063776292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.010312 (Illinois) | Primary |
| Provider Name | Burton G Pinchuk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760431324 PECOS PAC ID: 5597892406 Enrollment ID: I20100426000300 |
| Provider Name | Adam Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295814903 PECOS PAC ID: 3375545585 Enrollment ID: I20101118001323 |
| Provider Name | Kori B Klover |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598291882 PECOS PAC ID: 4183994718 Enrollment ID: I20180531000526 |
| Provider Name | Katje Anna Windel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811667546 PECOS PAC ID: 9537567243 Enrollment ID: I20211011002860 |
| Mailing Address | Practice Location Address |
|---|---|
| Black Eye Group, L.l.c. 16660 S Windsor Ln, Lockport, IL 60441-6286 Ph: (510) 847-6959 | Black Eye Group, L.l.c. 16660 S Windsor Ln, Lockport, IL 60441-6286 Ph: (510) 847-6959 |
Aleksandra Slowik, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15049 Sagebrush Ln, Lockport, IL 60441 Phone: 630-205-9514 | |
Adam C. Black, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16660 S Windsor Ln, Lockport, IL 60441 Phone: 510-847-6959 | |
Family Eyecare Of Lockport Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 16612 W 159th St, Suite 200, Lockport, IL 60441 Phone: 815-836-3937 Fax: 815-836-3930 | |
Patricia H. Simpson, O.d., Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 123 E 9th St, Suite 2, Lockport, IL 60441 Phone: 815-838-8069 Fax: 815-838-8088 | |
Dr. John Michael Fron, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1053 E 9th St, Lockport, IL 60441 Phone: 815-836-3937 Fax: 815-836-1315 | |
Dr. Cheryl Lynn Fron, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1053 E 9th St, Lockport, IL 60441 Phone: 815-836-3937 Fax: 815-836-1315 |