Freeport Eye Clinic is a
Ophthalmology based in Freeport, Illinois. Freeport Eye Clinic is licensed to practice in Illinois (license number ) and their current practice location is
1110 S Park Blvd, Freeport, Illinois. It can be reached at their office (for appointments etc.) via phone at
(815) 232-1105.
NPI number for Freeport Eye Clinic is 1083801690 and their current mailing address is 1110 S Park Blvd, Freeport, Illinois. Freeport Eye Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1083801690.
Healthcare Provider's Profile
| Full Name | Freeport Eye Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 1110 S Park Blvd, Freeport, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083801690
- Provider Enumeration Date: 09/27/2007
- Last Update Date: 09/27/2007
Medical Identifiers
Medical identifiers for Freeport Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083801690 | NPI | - | NPPES |
| 1437134509 | Other | IL | NPI |
| 1285635722 | Other | IL | NPI |
| 1184682635 | Other | IL | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | (Illinois) | Secondary |
| 152W00000X | Optometrist | (Illinois) | Secondary |
| 207W00000X | Ophthalmology | (Illinois) | Primary |
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. Freeport Eye Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Freeport Eye Clinic 1110 S Park Blvd, Freeport, IL 61032-4659 Ph: (815) 232-1105 | Freeport Eye Clinic 1110 S Park Blvd, Freeport, IL 61032-4659 Ph: (815) 232-1105 |
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