Leo J Prentice, OD | |
7451 Woodward Ave, Suite 101, Woodridge, IL 60517-2665 | |
(630) 663-9112 | |
(630) 663-9228 |
Full Name | Leo J Prentice |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 7451 Woodward Ave, Woodridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144212028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Illinois) | Primary |
Provider Name | Wow Vision Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104156009 PECOS PAC ID: 9234372962 Enrollment ID: O20130828000819 |
Mailing Address | Practice Location Address |
---|---|
Leo J Prentice, OD 7451 Woodward Ave, Suite 101, Woodridge, IL 60517-2665 Ph: (630) 663-9112 | Leo J Prentice, OD 7451 Woodward Ave, Suite 101, Woodridge, IL 60517-2665 Ph: (630) 663-9112 |
Mint Vision Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2305 63rd St, Woodridge, IL 60517 Phone: 773-332-0007 | |
Ms. Ann Sonia Kalladanthyil, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2017 75th St, Woodridge, IL 60517 Phone: 630-427-1000 Fax: 630-427-1181 | |
Direct Healthcare Solutions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Fringetree Ln, Woodridge, IL 60517 Phone: 708-275-6192 | |
Wow Vision Pc Optometrist Medicare: Medicare Enrolled Practice Location: 7451 Woodward Ave, Suite 101, Woodridge, IL 60517 Phone: 630-663-9112 Fax: 630-663-9228 | |
Third Street Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 6440 Main St, Suite 100, Woodridge, IL 60517 Phone: 630-824-0101 Fax: 630-824-0105 | |
Kalladanthyil Eyes Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 2017 75th St, Woodridge, IL 60517 Phone: 630-427-1000 |