| Derek Hennig, OD | |
|
1700 18th St, Charleston, IL 61920-3607 | |
| (217) 345-6600 | |
| (217) 345-6622 |
| Full Name | Derek Hennig |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 8 Years |
| Location | 1700 18th St, Charleston, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215466008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011094 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifetime Eye Care Pc | 0244634541 | 3 |
| Provider Name | Lifetime Eye Care Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205424900 PECOS PAC ID: 0244634541 Enrollment ID: O20210809003369 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Hennig, OD 1700 18th St, Charleston, IL 61920-3607 Ph: (217) 345-6600 | Derek Hennig, OD 1700 18th St, Charleston, IL 61920-3607 Ph: (217) 345-6600 |
Lifetime Eye Care, P. C. Optometrist Medicare: Medicare Enrolled Practice Location: 1700 18th St, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 | |
Dr. Scott A Clarke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 620 6th St, Charleston, IL 61920 Phone: 217-348-0800 Fax: 217-348-0802 | |
Darcy L Duzan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 18th St, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 | |
Mark D. Esarey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 18th St, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 | |
Central Illinois Vision Associates Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 620 6th St, Charleston, IL 61920 Phone: 217-348-0800 Fax: 217-348-0802 | |
Mark D Esarey Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1700 18th Street, Charleston, IL 61920 Phone: 217-345-6600 Fax: 217-345-6622 |