| International Eyecare Center Llc | |
|
2445 Broadway St, Quincy, IL 62301-3257 | |
| (217) 222-9207 | |
| (217) 641-0028 |
| Full Name | International Eyecare Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2445 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760405047 | NPI | - | NPPES |
| 530654904 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kristie N Chevalier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710936885 PECOS PAC ID: 8820025026 Enrollment ID: I20060227000290 |
| Provider Name | Mindy M Blackford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861406092 PECOS PAC ID: 2961407481 Enrollment ID: I20061211000315 |
| Provider Name | Abby M Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841302320 PECOS PAC ID: 0749359404 Enrollment ID: I20080603000724 |
| Provider Name | Kenneth Robert Mueller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013966076 PECOS PAC ID: 3870664188 Enrollment ID: I20080613000347 |
| Provider Name | Austin C Krohn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962678268 PECOS PAC ID: 4385717131 Enrollment ID: I20080726000132 |
| Provider Name | Ronald A Brand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164471462 PECOS PAC ID: 1850286857 Enrollment ID: I20100227000018 |
| Provider Name | Timothy J Leahy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629027958 PECOS PAC ID: 8527193986 Enrollment ID: I20100324000415 |
| Provider Name | Kurtis Carlson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104930601 PECOS PAC ID: 1557574902 Enrollment ID: I20120316000514 |
| Provider Name | Ryan S Thoele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700144029 PECOS PAC ID: 9436313210 Enrollment ID: I20120606000557 |
| Provider Name | Jonathon Paul Thoele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114282548 PECOS PAC ID: 3870741838 Enrollment ID: I20120917000335 |
| Provider Name | Elizabeth M Monroe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356687412 PECOS PAC ID: 5496990145 Enrollment ID: I20130625000351 |
| Provider Name | Pamela Marie Marzec |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134472996 PECOS PAC ID: 5092958942 Enrollment ID: I20130826000603 |
| Provider Name | Derek P Vogelpohl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073951612 PECOS PAC ID: 1658513114 Enrollment ID: I20131107000521 |
| Provider Name | Kaitlin Renae Griffith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760894935 PECOS PAC ID: 2961628581 Enrollment ID: I20140716002589 |
| Provider Name | Emily Ruth Hable |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619350592 PECOS PAC ID: 5991083222 Enrollment ID: I20161020001793 |
| Provider Name | Kelly A Durst-sharpe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447632187 PECOS PAC ID: 5496067118 Enrollment ID: I20170511001107 |
| Provider Name | Stephanie Corbin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124545603 PECOS PAC ID: 6406113760 Enrollment ID: I20200917000746 |
| Provider Name | Tesia Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104388800 PECOS PAC ID: 4981023124 Enrollment ID: I20201007002125 |
| Provider Name | Vrajika Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588282156 PECOS PAC ID: 7315362217 Enrollment ID: I20201021001294 |
| Provider Name | Theresa Marie Oliver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427588185 PECOS PAC ID: 5092125567 Enrollment ID: I20201208000576 |
| Provider Name | Fatima Karim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538545611 PECOS PAC ID: 1850641333 Enrollment ID: I20210616002050 |
| Provider Name | Antonio Campbell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912107905 PECOS PAC ID: 5698926012 Enrollment ID: I20210804002139 |
| Provider Name | Ashley Marvin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154774693 PECOS PAC ID: 8022306810 Enrollment ID: I20210917000007 |
| Provider Name | Arpit Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710595368 PECOS PAC ID: 1254729684 Enrollment ID: I20211103002715 |
| Provider Name | Daniel Myers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639431000 PECOS PAC ID: 7719139419 Enrollment ID: I20220810003770 |
| Provider Name | Dana Hobi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619590403 PECOS PAC ID: 3779966551 Enrollment ID: I20230403000104 |
| Provider Name | Ayhubrhan Yifru |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427749209 PECOS PAC ID: 1557717691 Enrollment ID: I20231026001777 |
| Provider Name | Todd Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831202076 PECOS PAC ID: 5597785790 Enrollment ID: I20240306003419 |
| Mailing Address | Practice Location Address |
|---|---|
| International Eyecare Center Llc 111 E 4th St Ste 440, Alton, IL 62002-6241 Ph: (618) 604-5208 | International Eyecare Center Llc 2445 Broadway St, Quincy, IL 62301-3257 Ph: (217) 222-9207 |
Specs Optometrist Medicare: Medicare Enrolled Practice Location: 195 S 36th St, Quincy, IL 62301 Phone: 217-224-7732 | |
Dr. Mervi Hannele Leyendeckers, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 | |
Dr. Kurtis M. Carlson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4929 Oak Street, Quincy, IL 62305 Phone: 217-222-2020 Fax: 217-223-9582 | |
Bobak Rafati, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3131 Broadway, Quincy, IL 62301 Phone: 217-223-7900 Fax: 217-223-7999 | |
Site Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3236 Broadway St, Quincy, IL 62301 Phone: 217-228-2060 Fax: 217-228-2066 | |
Dr. Jason Michael Kvitle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3325 Maine St, Suite 1, Quincy, IL 62301 Phone: 217-231-3937 Fax: 217-231-3940 | |
Broadway Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 926 Broadway St, Quincy, IL 62301 Phone: 217-222-6888 Fax: 217-222-6975 |