| Sabrina M Shultz, OD | |
|
18 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 | |
| (618) 656-7774 | |
| (618) 656-0536 |
| Full Name | Sabrina M Shultz |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 21 Years |
| Location | 18 Ginger Creek Pkwy, Glen Carbon, 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 |
|---|---|---|---|
| 1316086580 | NPI | - | NPPES |
| 046009802 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009802 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| J A K Enterprises Inc | 3173519014 | 25 |
| Provider Name | J A K Enterprises Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508856923 PECOS PAC ID: 3173519014 Enrollment ID: O20040424000025 |
| Provider Name | Jfj Eyecare, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376586685 PECOS PAC ID: 8224009865 Enrollment ID: O20040805000548 |
| Provider Name | Clarkson Optometry Illinois, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548635758 PECOS PAC ID: 7012292147 Enrollment ID: O20170331001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Sabrina M Shultz, OD 2020 W Iles Ave, Springfield, IL 62704-7015 Ph: (217) 698-3030 | Sabrina M Shultz, OD 18 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 Ph: (618) 656-7774 |
Dr. Todd Robert Wollbrinck, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Junction Dr, Glen Carbon, IL 62034 Phone: 618-659-1870 Fax: 618-659-1872 | |
Ashley Boatman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5 Illini Dr, Glen Carbon, IL 62034 Phone: 618-659-7341 Fax: 618-692-7887 | |
Todd Wollbrinck, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Junction Dr, Glen Carbon, IL 62034 Phone: 618-659-1870 Fax: 618-659-1872 | |
Clarkson Optometry Illinois, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18 Ginger Crk, Glen Carbon, IL 62034 Phone: 636-200-4393 Fax: 618-277-4917 |