Prairie Eye & Lasik Center - Medicare in Springfield, IL

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Prairie Eye & Lasik Center is a medicare enrolled "Ophthalmology" provider in Springfield, Illinois. Their current practice location is 2020 W Iles Ave, Springfield, Illinois. You can reach out to their office (for appointments etc.) via phone at (217) 698-3030.

Prairie Eye & Lasik Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Prairie Eye & Lasik Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1447222864.

Contact Information

Prairie Eye & Lasik Center
2020 W Iles Ave,
Springfield, IL 62704-4174
(217) 698-3030
(217) 698-4728

Map and Direction




Healthcare Provider's Profile

Full NamePrairie Eye & Lasik Center
TypeFacility
SpecialityOphthalmology
Location2020 W Iles Ave, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447222864
  • Provider Enumeration Date: 02/02/2006
  • Last Update Date: 02/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507779824
  • Enrollment ID: O20031111000811

Medical Identifiers

Medical identifiers for Prairie Eye & Lasik Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447222864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 042-000760 (Illinois)Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prairie Eye & Lasik Center acts as a billing entity for following providers:
Provider NameJennifer M Waller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861440612
PECOS PAC ID: 7618955154
Enrollment ID: I20040710000271
Provider NameBart A Jones
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1447256797
PECOS PAC ID: 7618944422
Enrollment ID: I20040913000209
Provider NameTonya Bourn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1851340152
PECOS PAC ID: 8527017664
Enrollment ID: I20050117000088
Provider NameThucanh T Multerer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1053303362
PECOS PAC ID: 2466483284
Enrollment ID: I20050822000990
Provider NameTyson J Herrmann
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427099951
PECOS PAC ID: 4880605849
Enrollment ID: I20060505000633
Provider NameMichael P Jones
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164589164
PECOS PAC ID: 7315047479
Enrollment ID: I20070703000337
Provider NamePhillip D Alward
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699735415
PECOS PAC ID: 1759359169
Enrollment ID: I20080304000618
Provider NameChelsey M Moore
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235440777
PECOS PAC ID: 0446384044
Enrollment ID: I20100818000756
Provider NameSandra Waiseng Yeh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841248838
PECOS PAC ID: 0547173874
Enrollment ID: I20100901000045
Provider NameRobert James Blumthal
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578568077
PECOS PAC ID: 4981728706
Enrollment ID: I20100901000084
Provider NameAnkur Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1851590343
PECOS PAC ID: 6507058120
Enrollment ID: I20101014000074
Provider NameBrian M Moore
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033420575
PECOS PAC ID: 9537354956
Enrollment ID: I20101111000523
Provider NameWilliam Yang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790979011
PECOS PAC ID: 9638227614
Enrollment ID: I20110126000598
Provider NameElizabeth R Heideman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619256013
PECOS PAC ID: 2769653666
Enrollment ID: I20110926000902
Provider NameMohamed Gendy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508183427
PECOS PAC ID: 7012150139
Enrollment ID: I20150530000158
Provider NameMonica Ryan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003298803
PECOS PAC ID: 8224343553
Enrollment ID: I20150817000812
Provider NameEmily Marie Beyer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063862266
PECOS PAC ID: 3072804020
Enrollment ID: I20160622000198
Provider NameNisha Gupta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1659665263
PECOS PAC ID: 5395985428
Enrollment ID: I20160908000845
Provider NameKaylyn Marie Nickelson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1467930735
PECOS PAC ID: 3779833587
Enrollment ID: I20180829000000
Provider NameSara Marie Siebert
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1841778115
PECOS PAC ID: 8325398167
Enrollment ID: I20180829001438
Provider NameAlexander R Kane
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336766377
PECOS PAC ID: 1355765470
Enrollment ID: I20200722002967
Provider NameRaja S Goli
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598719940
PECOS PAC ID: 2961492863
Enrollment ID: I20211228001841
Provider NameAlex Willis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1316442288
PECOS PAC ID: 7214287069
Enrollment ID: I20221027001711
Provider NameKenneth D. Farr
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740366244
PECOS PAC ID: 4688606833
Enrollment ID: I20230303001325
Provider NameKaleigh M Albers
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477252948
PECOS PAC ID: 2365816345
Enrollment ID: I20230314001395
Provider NameAbdulrahman K Rageh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770070146
PECOS PAC ID: 6305240458
Enrollment ID: I20230323001428

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prairie Eye & Lasik Center is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prairie Eye & Lasik Center
2020 W Iles Ave,
Springfield, IL 62704-4174

Ph: (217) 698-3030		Prairie Eye & Lasik Center
2020 W Iles Ave,
Springfield, IL 62704-4174

Ph: (217) 698-3030

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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