| Elsie Rodriguez, OD | |
|
125 W Main St, Clinton, IL 61727-1611 | |
| (217) 935-9451 | |
| (217) 600-2442 |
| Full Name | Elsie Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 125 W Main St, Clinton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518743913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011763 (Illinois) | Primary |
| Provider Name | Mid-state Eye Partners Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487005484 PECOS PAC ID: 4385923739 Enrollment ID: O20161108001130 |
| Provider Name | Visionpoint Eye Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518430859 PECOS PAC ID: 0749522092 Enrollment ID: O20190507000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Elsie Rodriguez, OD 4847 E Route 36, Decatur, IL 62521-9736 Ph: (217) 425-3219 | Elsie Rodriguez, OD 125 W Main St, Clinton, IL 61727-1611 Ph: (217) 935-9451 |
Mid-state Eye Partners Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 W Main St, Clinton, IL 61727 Phone: 217-935-9451 | |
Dr. Lynn A Wollenberg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 700 N Side Sq, Clinton, IL 61727 Phone: 217-935-6309 Fax: 217-935-3612 |