| Dr Kenneth A Schaidle, OD | |
|
4620 N University St, Peoria, IL 61614-5889 | |
| (309) 692-8222 | |
| (309) 692-8226 |
| Full Name | Dr Kenneth A Schaidle |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 34 Years |
| Location | 4620 N University St, Peoria, 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 |
|---|---|---|---|
| 1639166226 | NPI | - | NPPES |
| 046008408 | Medicaid | IL | |
| 410033418 | Other | IL | MEDICARE RAILROAD |
| 7215175 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008408 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| J A K Enterprises Inc | 3173519014 | 25 |
| Provider Name | J A K Enterprises Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508856923 PECOS PAC ID: 3173519014 Enrollment ID: O20040424000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth A Schaidle, OD 8309 N Knoxville Ave, Peoria, IL 61615-2170 Ph: (309) 693-9540 | Dr Kenneth A Schaidle, OD 4620 N University St, Peoria, IL 61614-5889 Ph: (309) 692-8222 |
Dr. Thomas Anderson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 710 W Third Avenue, Peoria, IL 61605 Phone: 309-674-3329 Fax: 309-674-2928 | |
Oneopto Il 2 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5116 N Big Hollow Rd, Peoria, IL 61615 Phone: 309-683-0500 Fax: 309-683-0503 | |
Vision Care Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4727 N Sheridan Rd, Peoria, IL 61614 Phone: 309-670-2020 Fax: 309-693-2536 | |
Central Illinois Family Eyecare Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4203 N Sheridan Rd, Ste A1-4, Peoria, IL 61614 Phone: 309-686-0763 Fax: 309-685-8809 | |
Laura Wilshire, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8309 N Knoxville Ave, Ste. 1, Peoria, IL 61615 Phone: 309-713-3664 Fax: 309-693-9754 | |
Kammy Lin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918 | |
Dr. Donald L Buehler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918 |