| Mary Jacobson, OD | |
|
307 Golf Mill Ctr, Niles, IL 60714-1217 | |
| (847) 803-1770 | |
| Not Available |
| Full Name | Mary Jacobson |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 307 Golf Mill Ctr, 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 |
|---|---|---|---|
| 1790833549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 46008491 (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 |
|---|---|
| Mary Jacobson, OD 1945 N Royal Birkdale Dr, Vernon Hills, IL 60061-4572 Ph: (312) 320-0333 | Mary Jacobson, OD 307 Golf Mill Ctr, Niles, IL 60714-1217 Ph: (847) 803-1770 |
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 |
Justin Timothy Kwan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7225 N Caldwell Ave, Niles, IL 60714 Phone: 847-647-0707 Fax: 847-647-1402 |
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 |
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 |
Better Vision Optometrists Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8800 W Dempster St, Niles, IL 60714 Phone: 847-297-4593 |
Scott B. Ford, Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5630 W Touhy Ave, Niles, IL 60714 Phone: 847-647-8970 |