| Dr Ryan Scott Thoele, OD | |
|
1505 W Main St, Mt Zion, IL 62549-1300 | |
| (217) 864-3221 | |
| (217) 596-4670 |
| Full Name | Dr Ryan Scott Thoele |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 1505 W Main St, Mt Zion, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700144029 | NPI | - | NPPES |
| 1700144029 | Medicaid | IL | |
| 1700144029 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010469 (Illinois) | Primary |
| 152W00000X | Optometrist | 2013000824 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christina J. Levi O D P C. | 9436210762 | 63 |
| Provider Name | International Eyecare Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760405047 PECOS PAC ID: 0244125235 Enrollment ID: O20040218000758 |
| Provider Name | Christina J. Levi O D P C. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477703411 PECOS PAC ID: 9436210762 Enrollment ID: O20081205000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Scott Thoele, OD 2445 Broadway St, Quincy, IL 62301-3257 Ph: (217) 222-8800 | Dr Ryan Scott Thoele, OD 1505 W Main St, Mt Zion, IL 62549-1300 Ph: (217) 864-3221 |
Dr. Timothy Delbert Busey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1505 W Main St, Mt Zion, IL 62549 Phone: 217-864-3221 Fax: 217-864-3345 | |
Temmen Advanced Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1505 W Main, Mt Zion, IL 62549 Phone: 217-864-3221 Fax: 217-864-3345 | |
International Eyecare Center Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1505 W Main St, Mt Zion, IL 62549 Phone: 217-864-3221 |