| Maria Anne Moore, OD | |
|
9500 S Western Ave, Ste G3a, Evergreen Park, IL 60805-2856 | |
| (708) 425-5285 | |
| Not Available |
| Full Name | Maria Anne Moore |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 9500 S Western Ave, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518030154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-009-773 (Illinois) | Primary |
| Provider Name | Luxottica of America Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831244953 PECOS PAC ID: 2567366180 Enrollment ID: O20031222000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Anne Moore, OD 9225 S Trumbull Ave, Evergreen Park, IL 60805-1534 Ph: (312) 307-7450 | Maria Anne Moore, OD 9500 S Western Ave, Ste G3a, Evergreen Park, IL 60805-2856 Ph: (708) 425-5285 |
Dr. Emily R Konczal, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9500 S Western Ave Ste G3a, Evergreen Park, IL 60805 Phone: 708-425-5285 |
Rasa Tamulavichus, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2500 W 95th St, Walmart Vision Center, Evergreen Park, IL 60805 Phone: 708-229-0946 Fax: 708-229-0973 |
Pearle Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3541 W 95th St, Evergreen Park, IL 60805 Phone: 708-425-4162 |
Rasa Tamulavichus Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 W 95th St, Walmart Vision Center, Evergreen Park, IL 60805 Phone: 708-229-0946 |
Miss Micaela Toledo, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9400 S Western Ave, Evergreen Park, IL 60805 Phone: 708-636-5301 Fax: 708-636-6518 |
Dr. John Szczepaniak, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3541 W 95th St, Evergreen Park, IL 60805 Phone: 708-425-4162 |
Bruce Terry Katz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3541 W 95th St, Evergreen Park, IL 60805 Phone: 708-425-4162 |