| Clarkson Optometry Illinois Pc | |
|
204 Bradford Lane, Waterloo, IL 62298 | |
| (636) 200-4393 | |
| (618) 939-6037 |
| Full Name | Clarkson Optometry Illinois Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 204 Bradford Lane, Waterloo, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649464553 | NPI | - | NPPES |
| 036104178 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 036104178 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkson Optometry Illinois Pc Po Box 207163, Dallas, TX 75320-7154 Ph: (636) 200-4393 | Clarkson Optometry Illinois Pc 204 Bradford Lane, Waterloo, IL 62298 Ph: (636) 200-4393 |
Dr. Robert L Toal Jr., OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 742 North Market, Suite A, Waterloo, IL 62298 Phone: 618-939-4040 Fax: 618-939-3903 | |
Dr. Jeff Cytron, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 961 N Market St, Waterloo, IL 62298 Phone: 618-939-4747 | |
Premier Eyecare Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 742 N Market St, Suite A, Waterloo, IL 62298 Phone: 618-939-4040 Fax: 618-939-3903 |