| Dr Nicole C Sidock, OD | |
|
4406 16th St, Moline, IL 61265-7012 | |
| (309) 762-2020 | |
| (309) 762-2022 |
| Full Name | Dr Nicole C Sidock |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 23 Years |
| Location | 4406 16th St, Moline, 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 |
|---|---|---|---|
| 1700914504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009589 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vep Il Optometric Llc | 3678814217 | 25 |
| Provider Name | Vep Il Optometric Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528536620 PECOS PAC ID: 3678814217 Enrollment ID: O20190409002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole C Sidock, OD 4406 16th St, Moline, IL 61265-7012 Ph: (309) 762-2020 | Dr Nicole C Sidock, OD 4406 16th St, Moline, IL 61265-7012 Ph: (309) 762-2020 |
Sara R Kurtis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4429 16th St, Moline, IL 61265 Phone: 309-762-3937 Fax: 309-623-6993 | |
Vep Il Optometric Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4406 16th St, Moline, IL 61265 Phone: 309-762-2020 | |
Dr. Brent C Nielsen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4540 3rd St, The Eye Center, Moline, IL 61265 Phone: 309-797-0877 | |
Oneopto Il 2 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4406 16th St, Moline, IL 61265 Phone: 309-762-2020 Fax: 309-762-2022 | |
Family Eye Care Southpark Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4703 16th St, Moline, IL 61265 Phone: 309-762-3937 | |
Gregory M New, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4500 16th St Ste 100, Moline, IL 61265 Phone: 309-764-0444 Fax: 978-670-7778 | |
Quad Cities Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4500 16th St Ste 100, Moline, IL 61265 Phone: 309-764-0444 |