| Dr Loretta L De Koster, OD | |
|
2500 N. Harlem Ave, Elmwood Park, IL 60707-2020 | |
| (708) 456-4362 | |
| (708) 456-5161 |
| Full Name | Dr Loretta L De Koster |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 33 Years |
| Location | 2500 N. Harlem Ave, Elmwood Park, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316028723 | NPI | - | NPPES |
| 01621057 | Other | IL | BLUE CROSS BLUE SHIELD |
| 6375 | Other | IL | DAVIS VISION |
| IL4407 | Other | IL | MEDICARE PTAN |
| 1316028723 | Other | IL | LORETTA DE KOSTER NPI |
| 113869 | Other | IL | EYE CARE PLAN OF AMERICA |
| 1992982169 | Other | IL | NPI #1992982169 LORETTA DE KOSTER,O.D.,LTD. DBA MELROSE EYECARE CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008683 (Illinois) | Secondary |
| 152W00000X | Optometrist | 046.008683 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desert Ophthalmology Medical Corporation | 5496895377 | 5 |
| Desert Elite Eye Group Inc | 1951744630 | 4 |
| Provider Name | Desert Ophthalmology Medical Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386710564 PECOS PAC ID: 5496895377 Enrollment ID: O20091228000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Loretta L De Koster, OD 2500 N. Harlem Ave, Elmwood Park, IL 60707-2020 Ph: (708) 456-4362 | Dr Loretta L De Koster, OD 2500 N. Harlem Ave, Elmwood Park, IL 60707-2020 Ph: (708) 456-4362 |
Dr. Christopher David Frame, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7310 W North Ave, Suite 2h, Elmwood Park, IL 60707 Phone: 708-456-3232 Fax: 708-456-3371 | |
Christopher D. Frame, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 7310 W North Ave, 2h, Elmwood Park, IL 60707 Phone: 708-456-3232 Fax: 708-456-3371 | |
Luma Ali Mallah, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2500 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-456-4362 | |
Stacy Beute, Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7310 W North Ave Ste 2h, Elmwood Park, IL 60707 Phone: 708-456-3232 Fax: 708-456-3371 | |
Elizabeth M Panton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7740 W North Ave, Elmwood Park, IL 60707 Phone: 708-452-7200 | |
Dr. Stacy Elise Beute, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7310 W North Ave Ste 2h, Elmwood Park, IL 60707 Phone: 708-456-3232 Fax: 708-456-3371 |