| Susan M Penner | |
|
134 E Blackhawk Dr, Byron, IL 61010-8610 | |
| (815) 234-2020 | |
| (815) 234-7070 |
| Full Name | Susan M Penner |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 134 E Blackhawk Dr, Byron, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194917971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Penner 134 E Blackhawk Dr, Byron, IL 61010-8610 Ph: (815) 234-2020 | Susan M Penner 134 E Blackhawk Dr, Byron, IL 61010-8610 Ph: (815) 234-2020 |
Eyecare Dimensions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 | |
Kush Patel, Optometrist Medicare: Medicare Enrolled Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 | |
Susan M Penner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 |