| Central Illinois Vision Associates Ltd | |
|
620 6th St, Charleston, IL 61920-2017 | |
| (217) 348-0800 | |
| (217) 348-0802 |
| Full Name | Central Illinois Vision Associates Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 620 6th St, Charleston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649418385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008347 (Illinois) | Primary |
| Provider Name | Scott A Clarke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336209055 PECOS PAC ID: 4486672110 Enrollment ID: I20051111000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Vision Associates Ltd 620 6th St, Charleston, IL 61920-2017 Ph: (217) 348-0800 | Central Illinois Vision Associates Ltd 620 6th St, Charleston, IL 61920-2017 Ph: (217) 348-0800 |
Lifetime Eye Care, P. C. Optometrist Medicare: Medicare Enrolled Practice Location: 1700 18th St, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 | |
Derek Hennig, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 18th St, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 | |
Dr. Scott A Clarke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 6th St, Charleston, IL 61920 Phone: 217-348-0800 Fax: 217-348-0802 | |
Darcy L Duzan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 18th St, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 | |
Mark D. Esarey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 18th St, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 | |
Mark D Esarey Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1700 18th Street, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 |