| Dr Joshua Mark Dudek, OD | |
|
320 N Ladd St, Pontiac, IL 61764-1612 | |
| (815) 842-4304 | |
| Not Available |
| Full Name | Dr Joshua Mark Dudek |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 320 N Ladd St, Pontiac, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508627449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.011847 (Illinois) | Primary |
| Provider Name | Fairbury Vision Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144639105 PECOS PAC ID: 7719209345 Enrollment ID: O20141209001776 |
| Provider Name | Pontiac Family Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700286143 PECOS PAC ID: 5395068266 Enrollment ID: O20141229001728 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua Mark Dudek, OD 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 842-4304 | Dr Joshua Mark Dudek, OD 320 N Ladd St, Pontiac, IL 61764-1612 Ph: (815) 842-4304 |
Family Eye Care Of Pontiac, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 815-844-5495 | |
Sasha L Radford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 | |
Dr. Brian D Henson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 815-419-2019 Fax: 815-419-2021 | |
J A K Enterprises Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1712 W Reynolds St, Pontiac, IL 61764 Phone: 309-693-9540 Fax: 309-693-9754 | |
Dr. Param Jeet Singh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1706 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2439 | |
Dr. Bryan Matthew Stoller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 815-844-5495 | |
Dr. Reid Allen Pettit, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 N Ladd St, Pontiac, IL 61764 Phone: 815-842-4304 Fax: 845-844-5495 |