| Homer Glen Vision Source Llc | |
|
15933 S Bell Rd, Homer Glen, IL 60491-6707 | |
| (708) 301-3101 | |
| (708) 301-3141 |
| Full Name | Homer Glen Vision Source Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15933 S Bell Rd, Homer Glen, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437486362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-006455 (Illinois) | Primary |
| Provider Name | Rohit K Sharma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245468883 PECOS PAC ID: 9234277443 Enrollment ID: I20091109000576 |
| Provider Name | John J Gardner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700942539 PECOS PAC ID: 2961468863 Enrollment ID: I20130121000157 |
| Provider Name | Meghan T Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639551591 PECOS PAC ID: 0042512477 Enrollment ID: I20151231001233 |
| Provider Name | Kimberly M Garvey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831571140 PECOS PAC ID: 5496045627 Enrollment ID: I20160531002517 |
| Provider Name | Cailyn A Strupek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851077440 PECOS PAC ID: 6204282544 Enrollment ID: I20231024000416 |
| Provider Name | Dana T Devito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669256350 PECOS PAC ID: 6901244227 Enrollment ID: I20240405001858 |
| Provider Name | Maliha Asadullah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649002304 PECOS PAC ID: 6709327943 Enrollment ID: I20240916002036 |
| Mailing Address | Practice Location Address |
|---|---|
| Homer Glen Vision Source Llc 15933 S Bell Rd, Homer Glen, IL 60491-6707 Ph: (708) 301-3101 | Homer Glen Vision Source Llc 15933 S Bell Rd, Homer Glen, IL 60491-6707 Ph: (708) 301-3101 |
Dr. Dennis W Kirscher, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 13231 W 143rd St, Suite 101, Homer Glen, IL 60491 Phone: 708-301-2020 Fax: 708-301-0884 | |
Rosin Optical Co. Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13231 W 143rd St, Homer Glen, IL 60491 Phone: 708-301-2020 Fax: 708-301-0884 | |
Dr. Glenn D. Kueltzo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13231 W 143rd St, Suite 101, Homer Glen, IL 60491 Phone: 708-301-2020 Fax: 708-301-0884 |