| Tyler Ridge Vision Care, Ltd. | |
|
1001 E Main St, #c, Saint Charles, IL 60174-2202 | |
| (630) 584-1111 | |
| (630) 584-1239 |
| Full Name | Tyler Ridge Vision Care, Ltd. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1001 E Main St, Saint Charles, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225052301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 46-008116 (Illinois) | Primary |
| Provider Name | Douglas Aaron Yuvan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043234263 PECOS PAC ID: 8022087162 Enrollment ID: I20051111000043 |
| Provider Name | Mark Wayne Kramer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558393504 PECOS PAC ID: 4486623527 Enrollment ID: I20100813000133 |
| Provider Name | Kevin D Goodwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740697408 PECOS PAC ID: 5193061836 Enrollment ID: I20190116003037 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Ridge Vision Care, Ltd. 1001 E. Main St., #c, Saint Charles, IL 60174 Ph: (630) 584-1111 | Tyler Ridge Vision Care, Ltd. 1001 E Main St, #c, Saint Charles, IL 60174-2202 Ph: (630) 584-1111 |
Dr. Douglas Aaron Yuvan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St, #c, Saint Charles, IL 60174 Phone: 630-584-1111 Fax: 630-584-1239 | |
Dr. Tyler Doersam, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 118 Lakeside Dr, Apt 434, Saint Charles, IL 60174 Phone: 815-821-3088 | |
Dr. Mark W. Kramer, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St, Suite C, Saint Charles, IL 60174 Phone: 630-584-1111 Fax: 630-584-1239 |