| Justin Timothy Kwan, OD | |
| 
					7225 N Caldwell Ave, Niles, IL 60714-4548  | |
| (847) 647-0707 | |
| (847) 647-1402 | 
| Full Name | Justin Timothy Kwan | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 7225 N Caldwell Ave, Niles, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063641538 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 046.011274 (Illinois) | Secondary | 
| 152W00000X | Optometrist | 046.011274 (Illinois) | Primary | 
| Provider Name | Professional Eye Care Center, Inc. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1720171515 PECOS PAC ID: 6002702883 Enrollment ID: O20040227000084  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Justin Timothy Kwan, OD 7225 N Caldwell Ave, Niles, IL 60714-4548 Ph: (847) 647-0707  | Justin Timothy Kwan, OD 7225 N Caldwell Ave, Niles, IL 60714-4548 Ph: (847) 647-0707  | 
Marina Shepelenko, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7421 N Milwaukee Ave, Niles, IL 60714 Phone: 773-775-0811  | |
Eric Greenfield Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9440 N Milwaukee Ave, Niles, IL 60714 Phone: 847-299-6289  | |
Dr. Daniel W Yang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9643 N Milwaukee Ave, Niles, IL 60714 Phone: 847-583-1860  | |
Rosin Optical Co., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8580 W Dempster St, Niles, IL 60714 Phone: 847-699-8580 Fax: 847-699-5053  | |
Dr. Ryan C Socwell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8580 W Dempster St, Niles, IL 60714 Phone: 847-699-8580  | |
Industrial Optical Service, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8800 W Dempster St, Niles, IL 60714 Phone: 847-297-4593  |