| Fof Optical Pllc | |
|
372 Larry Power Rd, Bourbonnais, IL 60914-5190 | |
| (708) 805-7618 | |
| Not Available |
| Full Name | Fof Optical Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 372 Larry Power Rd, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528873684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Lisa M Jeziorny Kerouac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588951222 PECOS PAC ID: 7416127857 Enrollment ID: I20110823000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Fof Optical Pllc 1158 Lafite, Bourbonnais, IL 60914-4538 Ph: (708) 805-7618 | Fof Optical Pllc 372 Larry Power Rd, Bourbonnais, IL 60914-5190 Ph: (708) 805-7618 |
Dr. Karyn Bassett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 N Sr 50, Pearle Vision, Bourbonnais, IL 60914 Phone: 815-935-0404 Fax: 815-935-0489 | |
Dr. Tayler Peachey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 719 Almar Pkwy, Bourbonnais, IL 60914 Phone: 815-932-1116 | |
Brent Dunlap Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 42 Briarcliff Professional Center, Bourbonnais, IL 60914 Phone: 815-932-1116 Fax: 815-932-9919 | |
Deborah Ann Totos, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 N State Route 50, Rm 580 Northfield Square, Bourbonnais, IL 60914 Phone: 815-935-0404 Fax: 815-935-0489 | |
Dr. Dimple Mukesh Soni, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1602 N State Route 50, Bourbonnais, IL 60914 Phone: 815-932-2200 | |
Dr. Erik Ranta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 W River St, Bourbonnais, IL 60914 Phone: 708-289-0225 | |
Meyer Optical Co. Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 135 W River St, Bourbonnais, IL 60914 Phone: 815-939-2222 Fax: 815-939-0970 |