| Southern Illinois Eye Care, Pc | |
|
425 W. Holmes, Chester, IL 62233 | |
| (618) 826-4521 | |
| Not Available |
| Full Name | Southern Illinois Eye Care, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 425 W. Holmes, Chester, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902951536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 043008311 (Illinois) | Primary |
| Provider Name | Lawrence G Soellner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073595005 PECOS PAC ID: 7113975384 Enrollment ID: I20050418000251 |
| Provider Name | Joseph F Grasso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003898768 PECOS PAC ID: 2668420837 Enrollment ID: I20050418000312 |
| Provider Name | Carolyn Celeste Gibson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255313912 PECOS PAC ID: 7214975606 Enrollment ID: I20050418000342 |
| Provider Name | Bryan Hopkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346528569 PECOS PAC ID: 3678744885 Enrollment ID: I20110920000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Eye Care, Pc 425 W. Holmes, Chester, IL 62233 Ph: (618) 826-4521 | Southern Illinois Eye Care, Pc 425 W. Holmes, Chester, IL 62233 Ph: (618) 826-4521 |
Dr. Lawrence Gordon Soellner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 W Holmes St, Chester, IL 62233 Phone: 618-826-4521 Fax: 618-826-4520 | |
Oneopto Il 1 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Holmes St, Chester, IL 62233 Phone: 618-826-4521 Fax: 618-826-4520 |