| Forzley-colander Eye Clinic, Inc | |
|
11412 S Harlem Ave, Worth, IL 60482-2004 | |
| (708) 422-7000 | |
| (708) 448-4295 |
| Full Name | Forzley-colander Eye Clinic, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11412 S Harlem Ave, Worth, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174959662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010615 (Illinois) | Primary |
| Provider Name | Samuel J Forzley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144230392 PECOS PAC ID: 9537167382 Enrollment ID: I20061110000206 |
| Provider Name | Mark B Colander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871889196 PECOS PAC ID: 4688823354 Enrollment ID: I20121012000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Forzley-colander Eye Clinic, Inc 11412 S Harlem Ave, Worth, IL 60482-2004 Ph: (708) 422-7000 | Forzley-colander Eye Clinic, Inc 11412 S Harlem Ave, Worth, IL 60482-2004 Ph: (708) 422-7000 |
Megan Meus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6967 W 111th St, Worth, IL 60482 Phone: 708-448-7988 | |
Dr. Daniel Meus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6967 W 111th St, Worth, IL 60482 Phone: 708-448-7988 | |
Dr. Richard J Dykstra, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6956 W 111th St, Worth, IL 60482 Phone: 708-361-1570 Fax: 708-448-5074 | |
Dr. Mark Brian Colander, O.D, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11412 S Harlem Ave, Worth, IL 60482 Phone: 708-422-7000 Fax: 708-448-4295 | |
J. A. Nolan, Od Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11412 S Harlem Ave, Worth, IL 60482 Phone: 708-422-7000 Fax: 708-448-4295 |