| Fairbury Vision Center Llc | |
|
2 Aspen Ct, Fairbury, IL 61739-1487 | |
| (815) 692-2415 | |
| (815) 692-2675 |
| Full Name | Fairbury Vision Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2 Aspen Ct, Fairbury, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144639105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bryan Stoller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316946338 PECOS PAC ID: 3577452176 Enrollment ID: I20040326000203 |
| Provider Name | Dennis M Brtva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215909056 PECOS PAC ID: 1951365451 Enrollment ID: I20080325000329 |
| Provider Name | Sasha Radford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124009162 PECOS PAC ID: 9537115068 Enrollment ID: I20120420000605 |
| Provider Name | Janelle Joyce Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538556915 PECOS PAC ID: 6800108978 Enrollment ID: I20150701002066 |
| Provider Name | Joshua Mark Dudek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508627449 PECOS PAC ID: 7517404932 Enrollment ID: I20240802003265 |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbury Vision Center Llc 2 Aspen Ct, Fairbury, IL 61739-1487 Ph: (815) 692-2415 | Fairbury Vision Center Llc 2 Aspen Ct, Fairbury, IL 61739-1487 Ph: (815) 692-2415 |
Dr. Mary T Rieger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2 Aspen Ct, Fairbury, IL 61739 Phone: 815-692-2415 Fax: 815-692-2675 |