Bridgeport Eye Care, Llc | |
3125 S Ashland Ave Ste 204, Chicago, IL 60608-6231 | |
(773) 890-1100 | |
Not Available |
Full Name | Bridgeport Eye Care, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 3125 S Ashland Ave Ste 204, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144711243 | NPI | - | NPPES |
046010771 | Medicaid | IL | |
1912314477 | Other | IL | OPTOMETRY NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046010771 (Illinois) | Primary |
Provider Name | Avalon Victoria Hindman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912314477 PECOS PAC ID: 4789803107 Enrollment ID: I20140917002312 |
Provider Name | Parisa Mobini |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215253257 PECOS PAC ID: 1456655315 Enrollment ID: I20160212001776 |
Provider Name | Zahra Adenwalla |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679712483 PECOS PAC ID: 5395894117 Enrollment ID: I20220908003350 |
Provider Name | Rachel Rita Ryan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376354852 PECOS PAC ID: 1850811100 Enrollment ID: I20250218000668 |
Mailing Address | Practice Location Address |
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Bridgeport Eye Care, Llc 3125 S Ashland Ave Ste 204, Chicago, IL 60608-6231 Ph: (773) 890-1100 | Bridgeport Eye Care, Llc 3125 S Ashland Ave Ste 204, Chicago, IL 60608-6231 Ph: (773) 890-1100 |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 W. 87th Street, Suite D, Chicago, IL 60620 Phone: 773-496-5433 | |
Chander Vision Group Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320 | |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 |