| Eyesite-illinois Valley, Llc | |
|
215 Richard A Mautino Dr, Spring Valley, IL 61362-1144 | |
| (815) 664-5331 | |
| (815) 663-5057 |
| Full Name | Eyesite-illinois Valley, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 215 Richard A Mautino Dr, Spring Valley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477614329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-008411 (Illinois) | Primary |
| Provider Name | Kent A Kunkel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134272842 PECOS PAC ID: 9830255892 Enrollment ID: I20090227000281 |
| Provider Name | Beth A Kunkel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912050527 PECOS PAC ID: 4789871930 Enrollment ID: I20101214000534 |
| Provider Name | Alex J Uhlenhopp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578055521 PECOS PAC ID: 8426304973 Enrollment ID: I20190925001629 |
| Provider Name | Lauren Elizabeth Uhlenhopp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023631744 PECOS PAC ID: 9931511458 Enrollment ID: I20201207002132 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyesite-illinois Valley, Llc 215 Richard A Mautino Dr, Spring Valley, IL 61362-1144 Ph: (815) 664-5331 | Eyesite-illinois Valley, Llc 215 Richard A Mautino Dr, Spring Valley, IL 61362-1144 Ph: (815) 664-5331 |
Lauren Elizabeth Uhlenhopp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Richard A Mautino Dr, Spring Valley, IL 61362 Phone: 815-664-5331 | |
Kent Kunkel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Richard A Mautino Dr, Spring Valley, IL 61362 Phone: 815-664-5331 Fax: 815-663-5057 | |
Blanco Kays Corgiat Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 200 W Dakota St, Spring Valley, IL 61362 Phone: 815-663-8281 Fax: 815-663-8190 | |
Beth Kunkel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Richard A Mautino Dr, Spring Valley, IL 61362 Phone: 815-664-5331 Fax: 815-663-5057 |