| Dr Robert Dillon Fullenwider, OD | |
|
823 9th St, Highland, IL 62249-1521 | |
| (618) 654-9848 | |
| Not Available |
| Full Name | Dr Robert Dillon Fullenwider |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 823 9th St, Highland, 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 |
|---|---|---|---|
| 1699386755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011435 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nucrown, Llc | 1456256346 | 19 |
| Nucrown, Llc | 1456256346 | 19 |
| Provider Name | Nucrown, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295737294 PECOS PAC ID: 1456256346 Enrollment ID: O20041025000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Dillon Fullenwider, OD 1412 Doris Ave, Cahokia, IL 62206-2234 Ph: (618) 980-3840 | Dr Robert Dillon Fullenwider, OD 823 9th St, Highland, IL 62249-1521 Ph: (618) 654-9848 |
Dr. Becky Rock, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12603 Illinois Highway 143, Highland, IL 62249 Phone: 618-882-4262 Fax: 618-882-4263 | |
Dr John Kleinhoffer Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1312 Mercantile Dr, Woodcrest Plaza, Highland, IL 62249 Phone: 618-654-9999 Fax: 618-654-8430 | |
Dr. Kimberly Rosenthal Tinge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 823 9th St, Highland, IL 62249 Phone: 618-654-9848 Fax: 618-654-5200 | |
Dr. Theresa Ann Haas, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12495 State Route 143, Highland, IL 62249 Phone: 618-651-8308 | |
3f Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: Unit # 1 12603 Il Highway 143, Highland, IL 62249 Phone: 636-200-4393 Fax: 618-882-4262 | |
Dr. Mary Kirsch Lampe, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 823 9th St, Highland, IL 62249 Phone: 618-654-9848 Fax: 618-654-5200 |