Drs. Distin & Doyle, Optometrists | |
67 Public Sq, Monmouth, IL 61462-1755 | |
(309) 734-3108 | |
(309) 734-6988 |
Full Name | Drs. Distin & Doyle, Optometrists |
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Type | Facility |
Speciality | Optometrist |
Location | 67 Public Sq, Monmouth, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437375029 | NPI | - | NPPES |
0009484001 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | EACH DR HAS LICENSE (Illinois) | Primary |
Provider Name | Daniel Ray Doyle |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033104757 PECOS PAC ID: 2163533621 Enrollment ID: I20101101000299 |
Provider Name | Gary Dean Distin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477548287 PECOS PAC ID: 4981715448 Enrollment ID: I20101101000331 |
Mailing Address | Practice Location Address |
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Drs. Distin & Doyle, Optometrists 67 Public Sq, Monmouth, IL 61462-1755 Ph: (309) 734-3108 | Drs. Distin & Doyle, Optometrists 67 Public Sq, Monmouth, IL 61462-1755 Ph: (309) 734-3108 |
Daniel R Doyle, OD Optometrist Medicare: Medicare Enrolled Practice Location: 67 Public Sq, Monmouth, IL 61462 Phone: 309-734-3108 Fax: 309-734-3108 | |
Gary D Distin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 67 Public Sq, Monmouth, IL 61462 Phone: 309-734-3108 Fax: 309-734-6988 |