Eye Q Optique At Imd, Inc. is a medicare enrolled "Eyewear Supplier" provider in Chicago, Illinois. Their current practice location is
709 S. Seeley Ave., Chicago, Illinois. You can reach out to their office (for appointments etc.) via phone at
(312) 872-0201.
Eye Q Optique At Imd, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eye Q Optique At Imd, Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1093379877.
Healthcare Provider's Profile
| Full Name | Eye Q Optique At Imd, Inc. |
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| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 709 S. Seeley Ave., Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093379877
- Provider Enumeration Date: 04/26/2019
- Last Update Date: 07/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143652586
- Enrollment ID: O20191122002229
Medical Identifiers
Medical identifiers for Eye Q Optique At Imd, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093379877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eye Q Optique At Imd, Inc. acts as a billing entity for following providers:
| Provider Name | Sandra Rafael |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1497801757
PECOS PAC ID: 1759273329
Enrollment ID: I20040330000346 |
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| Provider Name | Karen A Olson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1881815025
PECOS PAC ID: 6002822772
Enrollment ID: I20060313000617 |
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| Provider Name | Joyce Chien |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1093787566
PECOS PAC ID: 3870541071
Enrollment ID: I20210511002199 |
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| Provider Name | Debbie L Simon |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1669024832
PECOS PAC ID: 5294064085
Enrollment ID: I20230314001913 |
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| Provider Name | Jena Gilbertson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1225773039
PECOS PAC ID: 0345694741
Enrollment ID: I20231003001715 |
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| Provider Name | Romaya Ahmed |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1326812942
PECOS PAC ID: 8325497175
Enrollment ID: I20231206000562 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eye Q Optique At Imd, Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Eye Q Optique At Imd, Inc.
722 S Buffalo Grove Rd,
Buffalo Grove, IL 60089-3708
Ph: (847) 404-7647 | Eye Q Optique At Imd, Inc.
709 S. Seeley Ave.,
Chicago, IL 60612
Ph: (312) 872-0201 |
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