| Tim A Bengtson O.d., P.c. | |
|
820 E Jackson St, Macomb, IL 61455-2412 | |
| (309) 833-4242 | |
| Not Available |
| Full Name | Tim A Bengtson O.d., P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 820 E Jackson St, Macomb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285646661 | NPI | - | NPPES |
| 046007904 | Medicaid | IL | |
| 0005584005 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007904 (Illinois) | Primary |
| Provider Name | Tim A Bengtson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891989919 PECOS PAC ID: 7810884178 Enrollment ID: I20040303000122 |
| Provider Name | Brigette A Colley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992147086 PECOS PAC ID: 2769616663 Enrollment ID: I20131008001735 |
| Provider Name | Hannah L Bengtson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780154013 PECOS PAC ID: 5597003335 Enrollment ID: I20190220002687 |
| Provider Name | Brooke Danielle Tobias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427628668 PECOS PAC ID: 6002218070 Enrollment ID: I20220713003758 |
| Mailing Address | Practice Location Address |
|---|---|
| Tim A Bengtson O.d., P.c. 820 E Jackson St, Macomb, IL 61455-2412 Ph: () - | Tim A Bengtson O.d., P.c. 820 E Jackson St, Macomb, IL 61455-2412 Ph: (309) 833-4242 |
Terry Vail, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 131 S Randolph St, Macomb, IL 61455 Phone: 309-833-5557 | |
Gary R Crosby, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 820 E Jackson St, Macomb, IL 61455 Phone: 309-833-4242 Fax: 309-833-3597 | |
Timothy Lee Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 505 E Grant St, Suite 206, Macomb, IL 61455 Phone: 309-836-3937 Fax: 309-833-1894 | |
David R Culver Od Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 222 S Randolph St, Macomb, IL 61455 Phone: 309-833-4391 Fax: 309-833-1691 | |
Dr. Eric Botts, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1730 E Jackson St, Macomb, IL 61455 Phone: 309-836-3373 Fax: 309-836-3373 | |
Vision Consultants Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 131 S Randolph St, Macomb, IL 61455 Phone: 309-833-5557 |