| Susan M Penner, OD | |
|
134 E Blackhawk Dr, Byron, IL 61010 | |
| (815) 234-2020 | |
| (815) 234-7070 |
| Full Name | Susan M Penner |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 38 Years |
| Location | 134 E Blackhawk Dr, Byron, 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 |
|---|---|---|---|
| 1891842464 | NPI | - | NPPES |
| L08182 | Other | IL | PIN |
| 046-008009 | Other | IL | OPTOMETRY LICENSE |
| 4515286 | Other | IL | BLUE CROSS BLUE SHIELD |
| 7184011 | Other | IL | BLUE CROSS BLUE SHIELD |
| CL7273 | Other | IL | RAILROAD MEDICARE GROUP |
| 410033446 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046-008009 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christina J. Levi O D P C. | 9436210762 | 56 |
| 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 |
|---|---|
| Susan M Penner, OD 134 E Blackhawk Dr, Byron, IL 61010-8610 Ph: (815) 234-2020 | Susan M Penner, OD 134 E Blackhawk Dr, Byron, IL 61010 Ph: (815) 234-2020 |
Susan M Penner Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 | |
Eyecare Dimensions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 Fax: 815-234-7070 | |
Kush Patel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 134 E Blackhawk Dr, Byron, IL 61010 Phone: 815-234-2020 |