| Salem Eye Clinic Llc | |
|
400 North Broadway, Salem, IL 62881 | |
| (618) 548-3506 | |
| (618) 548-2555 |
| Full Name | Salem Eye Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 400 North Broadway, Salem, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205980786 | NPI | - | NPPES |
| 06132027 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Elizabeth J Wolff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598915811 PECOS PAC ID: 2567509649 Enrollment ID: I20091021000807 |
| Provider Name | Alan D Montgomery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326192808 PECOS PAC ID: 6608801840 Enrollment ID: I20101213001166 |
| Provider Name | Elissa S Harvey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811285869 PECOS PAC ID: 8729256383 Enrollment ID: I20110726000421 |
| Provider Name | Michael S Spencer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245688308 PECOS PAC ID: 1052601721 Enrollment ID: I20160608001855 |
| Provider Name | Jessie Crabtree |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669951380 PECOS PAC ID: 3870843436 Enrollment ID: I20180904000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Eye Clinic Llc 400 North Broadway, Salem, IL 62881 Ph: (618) 548-3506 | Salem Eye Clinic Llc 400 North Broadway, Salem, IL 62881 Ph: (618) 548-3506 |
Dr. Doris Ann Els, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 121 N Broadway, Salem, IL 62881 Phone: 618-548-4866 Fax: 618-548-4867 | |
Julie K. Kueker, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1870 W Main St, Salem, IL 62881 Phone: 618-548-6590 | |
Mr. Alan D Montgomery, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 North Broadway, Salem, IL 62881 Phone: 618-548-3506 Fax: 618-548-2555 | |
Julie K Kueker, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1870 W Main St, Salem, IL 62881 Phone: 618-548-6590 | |
Elizabeth Wolff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 N Broadway Ave, Salem, IL 62881 Phone: 618-548-3506 | |
Haley Nicole Rambo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 W Main St, Salem, IL 62881 Phone: 618-548-0100 |