| Dr Bryan R Bowen, OD | |
|
401 S Walnut St, Pinckneyville, IL 62274-1344 | |
| (618) 357-2020 | |
| (618) 357-2100 |
| Full Name | Dr Bryan R Bowen |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 25 Years |
| Location | 401 S Walnut St, Pinckneyville, 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 |
|---|---|---|---|
| 1588660633 | NPI | - | NPPES |
| 046009730 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2001018120 (Missouri) | Secondary |
| 152W00000X | Optometrist | 046009730 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marion Eye Centers Ltd | 3072426774 | 35 |
| Provider Name | Marion Eye Centers Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508865643 PECOS PAC ID: 3072426774 Enrollment ID: O20031125000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan R Bowen, OD 1200 W Deyoung St, Marion, IL 62959-4437 Ph: (618) 993-5686 | Dr Bryan R Bowen, OD 401 S Walnut St, Pinckneyville, IL 62274-1344 Ph: (618) 357-2020 |
Dr. Joseph Frank Grasso, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 N Locust St, Pinckneyville, IL 62274 Phone: 618-357-6117 Fax: 618-357-3406 | |
Southern Illinois Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 15 N Locust St, Pinckneyville, IL 62274 Phone: 618-357-6117 | |
Dr. Jordan Elizabeth Morgeson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 S Walnut St, Pinckneyville, IL 62274 Phone: 618-357-2020 | |
Oneopto Il 1 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 N Locust St, Pinckneyville, IL 62274 Phone: 618-357-6117 Fax: 618-357-3406 |