| Prairie Eye Center Ltd | |
|
106 E Main St, Beardstown, IL 62618-1241 | |
| (217) 323-1146 | |
| (217) 323-1145 |
| Full Name | Prairie Eye Center Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 106 E Main St, Beardstown, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376773598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 042000760 (Illinois) | Primary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Eye Center Ltd 106 E Main St, Beardstown, IL 62618-1241 Ph: (217) 323-1146 | Prairie Eye Center Ltd 106 E Main St, Beardstown, IL 62618-1241 Ph: (217) 323-1146 |
Dr. Mary Agnes Bigelow, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 106 E Main St, Beardstown, IL 62618 Phone: 217-323-1146 Fax: 217-323-1156 | |
Sara Marie Siebert, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 106 E Main St, Beardstown, IL 62618 Phone: 217-323-1146 Fax: 217-323-1145 |