| Sullivan Ostoich Eye Care Ltd | |
|
1415 Palatine Rd, Hoffman Estates, IL 60192-1196 | |
| (847) 776-8900 | |
| (847) 776-8922 |
| Full Name | Sullivan Ostoich Eye Care Ltd |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1415 Palatine Rd, Hoffman Estates, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598809659 | NPI | - | NPPES |
| CH9269 | Other | IL | MEDICARE RAILROAD |
| 1598809659 | Medicaid | IL | |
| 1633189 | Other | IL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 060007756 (Illinois) | Secondary |
| 207W00000X | Ophthalmology | 060007756 (Illinois) | Primary |
| Provider Name | Kevin L Sullivan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245390897 PECOS PAC ID: 4688652704 Enrollment ID: I20050503000753 |
| Provider Name | Brent G Ostoich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043335094 PECOS PAC ID: 7416935531 Enrollment ID: I20050503000798 |
| Provider Name | Marina Shepelenko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033421227 PECOS PAC ID: 3870773229 Enrollment ID: I20110202000591 |
| Provider Name | Elizabeth J Shelus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598052326 PECOS PAC ID: 0042481459 Enrollment ID: I20110915000283 |
| Provider Name | Christine M Mata |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891099420 PECOS PAC ID: 3577785005 Enrollment ID: I20141117001067 |
| Provider Name | Thomas Christopher Esposito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194260414 PECOS PAC ID: 4284997297 Enrollment ID: I20180404000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Ostoich Eye Care Ltd 1415 Palatine Rd, Hoffman Estates, IL 60192-1196 Ph: (847) 776-8900 | Sullivan Ostoich Eye Care Ltd 1415 Palatine Rd, Hoffman Estates, IL 60192-1196 Ph: (847) 776-8900 |