| Jeffrey D Dzik Od & Associates Llc | |
| 
					2111 Claude Bailey Pkwy, Princeton, IL 61356-8618  | |
| (815) 879-3210 | |
| (815) 879-8618 | 
| Full Name | Jeffrey D Dzik Od & Associates Llc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 2111 Claude Bailey Pkwy, Princeton, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598164626 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 046009859 (Illinois) | Primary | 
| Provider Name | Jeffrey D Dzik | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1912932807 PECOS PAC ID: 4981608106 Enrollment ID: I20060831000031  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeffrey D Dzik Od & Associates Llc 604 Hickory Ave, Oglesby, IL 61348-1192 Ph: (815) 879-3210  | Jeffrey D Dzik Od & Associates Llc 2111 Claude Bailey Pkwy, Princeton, IL 61356-8618 Ph: (815) 879-3210  | 
Dr. Jon E Mccutchan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Ace Rd, Suite 4, Princeton, IL 61356 Phone: 815-872-3937 Fax: 815-875-3937  | |
Dr. Jeffrey D Dzik, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2111 Claude Bailey Pkwy, Princeton, IL 61356 Phone: 815-875-4521  | |
Donald R Marion, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2 Park Avenue West, Princeton, IL 61356 Phone: 815-879-2020 Fax: 815-879-2001  |