| Dr Jonathan D Goulart, OD | |
|
1000 Kiwanis Dr, Freeport, IL 61032-6921 | |
| (815) 235-6177 | |
| (815) 235-6180 |
| Full Name | Dr Jonathan D Goulart |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 41 Years |
| Location | 1000 Kiwanis Dr, Freeport, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518065176 | NPI | - | NPPES |
| 046007745 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007745 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Eyecare Pc | 7012968209 | 5 |
| Provider Name | Rosin Optical Co Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235343641 PECOS PAC ID: 8022921758 Enrollment ID: O20031110000262 |
| Provider Name | Northwest Eyecare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184800625 PECOS PAC ID: 7012968209 Enrollment ID: O20050204000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan D Goulart, OD 1000 Kiwanis Dr, Freeport, IL 61032-6921 Ph: (815) 235-6177 | Dr Jonathan D Goulart, OD 1000 Kiwanis Dr, Freeport, IL 61032-6921 Ph: (815) 235-6177 |
Dr. Susan Andrea Seabold, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2545 Il Route 26 S, Freeport, IL 61032 Phone: 815-266-2037 Fax: 815-266-2038 | |
Raymond L. Alberts, M.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1110 S Park Blvd, Freeport, IL 61032 Phone: 815-232-1105 Fax: 815-232-3117 | |
Dr. Jeffrey John James, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1110 S Park Blvd, Freeport, IL 61032 Phone: 815-232-1105 Fax: 815-232-3117 | |
Northwest Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-6177 Fax: 815-235-6180 | |
Eye Health Solutions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2545 Il Route 26 S, Freeport, IL 61032 Phone: 815-266-2036 Fax: 815-266-2058 | |
Stephanie Lyn Fisher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 W South St, Freeport, IL 61032 Phone: 158-232-2020 Fax: 815-235-1712 |