| Daniel Mcintosh, OD | |
|
18210 La Grange Rd Ste 110, Orland Park, IL 60487-7723 | |
| (888) 852-1988 | |
| Not Available |
| Full Name | Daniel Mcintosh |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 18210 La Grange Rd Ste 110, Orland Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073000964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9868TG (Texas) | Primary |
| 152W00000X | Optometrist | 046011191 (Illinois) | Secondary |
| Provider Name | Aeg Texas Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Mcintosh, OD 18210 La Grange Rd Ste 110, Orland Park, IL 60487-7723 Ph: () - | Daniel Mcintosh, OD 18210 La Grange Rd Ste 110, Orland Park, IL 60487-7723 Ph: (888) 852-1988 |
James Gregory Hughes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14706 La Grange Road, Orland Park, IL 60462 Phone: 708-403-7895 Fax: 708-403-9260 | |
Stockmaster Enterprises Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9750 Crescent Park Cir, 243, Orland Park, IL 60462 Phone: 708-770-6404 | |
Dr. Gloria Jean Docherty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15410 S Harlem Ave, Orland Park, IL 60462 Phone: 708-633-0060 Fax: 708-633-0077 | |
Dr. Angelika Anna Pacholek, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15135 S La Grange Rd, Orland Park, IL 60462 Phone: 708-675-3811 | |
Olivia Jilek, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10001 W 143rd St, Orland Park, IL 60462 Phone: 708-349-2600 | |
Dr. James Alan Vroegh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15410 S Harlem Ave, Orland Park, IL 60462 Phone: 708-633-0060 Fax: 708-633-0077 |