| Spencer Family Eye Care, Llc | |
|
711 N Main St, Benton, IL 62812-1017 | |
| (618) 439-7256 | |
| (618) 439-7261 |
| Full Name | Spencer Family Eye Care, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 711 N Main St, Benton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639754328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Michael S Spencer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245688308 PECOS PAC ID: 1052601721 Enrollment ID: I20160608001855 |
| Provider Name | Olivia Lyn-marie Boehnke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174179584 PECOS PAC ID: 4082026976 Enrollment ID: I20201217002244 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Family Eye Care, Llc 711 N Main St, Benton, IL 62812-1017 Ph: (618) 439-7256 | Spencer Family Eye Care, Llc 711 N Main St, Benton, IL 62812-1017 Ph: (618) 439-7256 |
Dr. Michael Sebastian Spencer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 711 N Main St, Benton, IL 62812 Phone: 618-439-7256 | |
David K. Spencer, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 711 N Main St, Benton, IL 62812 Phone: 618-439-7256 Fax: 618-439-7257 | |
Dr. David Keith Spencer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 711 N Main St, Benton, IL 62812 Phone: 618-439-7256 Fax: 618-439-7257 |