| Miss Taryn Lee Doherty, OD | |
|
2120 E Grand Ave, Lindenhurst, IL 60046-9030 | |
| (847) 356-2020 | |
| Not Available |
| Full Name | Miss Taryn Lee Doherty |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 7 Years |
| Location | 2120 E Grand Ave, Lindenhurst, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598241416 | NPI | - | NPPES |
| 046011206 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011206 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Absolute Vision Care Ii Ltd | 0244366375 | 4 |
| Absolute Vision Care Ltd | 2365428760 | 2 |
| Provider Name | Absolute Vision Care Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386735884 PECOS PAC ID: 2365428760 Enrollment ID: O20040626000162 |
| Provider Name | Absolute Vision Care Iii, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891922100 PECOS PAC ID: 6305991795 Enrollment ID: O20090909000173 |
| Provider Name | Absolute Vision Care Ii Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245313626 PECOS PAC ID: 0244366375 Enrollment ID: O20100329000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Taryn Lee Doherty, OD 2120 E Grand Ave, Lindenhurst, IL 60046-9030 Ph: (847) 356-2020 | Miss Taryn Lee Doherty, OD 2120 E Grand Ave, Lindenhurst, IL 60046-9030 Ph: (847) 356-2020 |
Dr. Nae Hyon Kwon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2120 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2900 | |
Dr. James D. Doherty, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1914 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2020 | |
Accu-vision Center Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1914 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-2020 Fax: 847-356-5051 |