| Premier Eyecare Center Pc | |
|
742 N Market St, Suite A, Waterloo, IL 62298 | |
| (618) 939-4040 | |
| (618) 939-3903 |
| Full Name | Premier Eyecare Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 742 N Market St, Waterloo, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619092863 | NPI | - | NPPES |
| 06732021 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046008356 (Illinois) | Primary |
| Provider Name | Robert L Toal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114990116 PECOS PAC ID: 6002717451 Enrollment ID: I20040119000595 |
| Provider Name | Lisa Ann Hager |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801815246 PECOS PAC ID: 2860498433 Enrollment ID: I20061005000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Eyecare Center Pc 742 N Market St, Suite A, Waterloo, IL 62298 Ph: (618) 939-4040 | Premier Eyecare Center Pc 742 N Market St, Suite A, Waterloo, IL 62298 Ph: (618) 939-4040 |
Dr. Robert L Toal Jr., OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 742 North Market, Suite A, Waterloo, IL 62298 Phone: 618-939-4040 Fax: 618-939-3903 | |
Dr. Jeff Cytron, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 961 N Market St, Waterloo, IL 62298 Phone: 618-939-4747 | |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 204 Bradford Lane, Waterloo, IL 62298 Phone: 636-200-4393 Fax: 618-939-6037 |