| Harold E Davis & Terry Alan Trust Etal | |
|
4663 W 95th St, Oak Lawn, IL 60453-2540 | |
| (708) 636-0600 | |
| (708) 636-0606 |
| Full Name | Harold E Davis & Terry Alan Trust Etal |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4663 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265621361 | NPI | - | NPPES |
| Provider Name | Robert L Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275513509 PECOS PAC ID: 7618048232 Enrollment ID: I20080625000192 |
| Provider Name | Bradley R Cogswell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164402491 PECOS PAC ID: 1759452386 Enrollment ID: I20080625000285 |
| Provider Name | Stephanie Jane Garza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093472110 PECOS PAC ID: 7719368216 Enrollment ID: I20220714002712 |
| Provider Name | Puja Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568041978 PECOS PAC ID: 6507242245 Enrollment ID: I20221003002143 |
| Mailing Address | Practice Location Address |
|---|---|
| Harold E Davis & Terry Alan Trust Etal 4663 W 95th St, Oak Lawn, IL 60453-2540 Ph: (708) 636-0600 | Harold E Davis & Terry Alan Trust Etal 4663 W 95th St, Oak Lawn, IL 60453-2540 Ph: (708) 636-0600 |
Dr. Jennifer L Redmond, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4445 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-6500 Fax: 708-425-1455 | |
Myeyedr Optometry Of Illinois, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10550 S Cicero Ave, Oak Lawn, IL 60453 Phone: 708-499-3911 | |
Dr. Austin William Toresdahl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6201 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-9393 Fax: 708-636-2022 | |
Dr. Stephanie Garza, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4663 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-0600 | |
Drs. Leahy & Disalvo-ost, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 4445 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-6500 Fax: 708-425-1455 | |
Dr. Husna Syeda, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 6201 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-9393 Fax: 708-636-2022 | |
Dr. Bradley R. Cogswell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4663 W 95th St, Oak Lawn, IL 60453 Phone: 708-636-0600 Fax: 708-636-0606 |