| Juan I Brito, OD | |
|
5005 Northwest Hwy, Crystal Lake, IL 60014-7324 | |
| (815) 479-0177 | |
| (262) 923-7673 |
| Full Name | Juan I Brito |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 17 Years |
| Location | 5005 Northwest Hwy, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851524318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3547 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | 046010282 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Boutique Inc | 7012073851 | 5 |
| Wisconsin Vision Inc | 5698676518 | 29 |
| Provider Name | Eye Boutique Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114144276 PECOS PAC ID: 7012073851 Enrollment ID: O20090304000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan I Brito, OD 16800 W Cleveland Ave, New Berlin, WI 53151-3533 Ph: (262) 432-2005 | Juan I Brito, OD 5005 Northwest Hwy, Crystal Lake, IL 60014-7324 Ph: (815) 479-0177 |
Payal Patel, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 5765 Northwest Hwy, Visionworks, Crystal Lake, IL 60014 Phone: 847-791-0396 | |
Dr. Elizabeth A. Mihevc, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 Memorial Dr Ste 300, Crystal Lake, IL 60014 Phone: 815-459-7110 Fax: 815-459-7138 | |
Ziva Optical Ii, Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4777 Northwest Hwy, Suite D, Crystal Lake, IL 60014 Phone: 815-477-8500 Fax: 815-444-0591 | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6215 Northwest Hwy, Crystal Lake, IL 60014 Phone: 709-205-0315 | |
Crystal Lake Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6314 Northwest Hwy, Crystal Lake, IL 60014 Phone: 815-459-4074 Fax: 815-459-4061 | |
Union Eyes, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr # 360b, Crystal Lake, IL 60014 Phone: 312-888-9999 | |
Katharine Schooley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 N Virginia St, Crystal Lake, IL 60014 Phone: 815-455-9393 Fax: 314-741-4947 |