| Clint T Taylor Od Llc | |
|
304 S Church St, Carmi, IL 62821-1604 | |
| (618) 382-4683 | |
| (618) 382-4684 |
| Full Name | Clint T Taylor Od Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 304 S Church St, Carmi, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245410281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Illinois) | Primary |
| Provider Name | Clint T Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811931769 PECOS PAC ID: 1658302609 Enrollment ID: I20050831000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint T Taylor Od Llc 304 S Church St, Carmi, IL 62821-1604 Ph: (618) 382-4683 | Clint T Taylor Od Llc 304 S Church St, Carmi, IL 62821-1604 Ph: (618) 382-4683 |
Dr. Nicole Hanish, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1201 W Main St, Carmi, IL 62821 Phone: 618-384-5112 Fax: 618-382-3500 | |
Dr. Lars A Gentry, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1207 W Main St, Carmi, IL 62821 Phone: 618-384-3411 Fax: 618-382-7226 | |
Dr. Clint T Taylor, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1684 Falcon Ave, Carmi, IL 62821 Phone: 618-382-4683 Fax: 618-382-4684 |