| Vintage Optical Brian C Sommer Od Ltd | |
|
605 S Main St, Morton, IL 61550-2413 | |
| (309) 263-8611 | |
| (309) 263-8926 |
| Full Name | Vintage Optical Brian C Sommer Od Ltd |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 605 S Main St, Morton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073756490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.007309 (Illinois) | Primary |
| Provider Name | Brian C Sommer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003986522 PECOS PAC ID: 0345331484 Enrollment ID: I20070803000519 |
| Provider Name | Terry A Goodale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366878811 PECOS PAC ID: 2668602186 Enrollment ID: I20140303000766 |
| Provider Name | Paul O Velting |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093128886 PECOS PAC ID: 9335369875 Enrollment ID: I20141003000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Vintage Optical Brian C Sommer Od Ltd 605 S Main St, Morton, IL 61550-2413 Ph: (309) 263-8611 | Vintage Optical Brian C Sommer Od Ltd 605 S Main St, Morton, IL 61550-2413 Ph: (309) 263-8611 |
Dr. Brian C Sommer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 417 W Jefferson St, Morton, IL 61550 Phone: 309-263-8611 Fax: 309-263-8926 |
Paul O Velting, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 417 W Jefferson St, Morton, IL 61550 Phone: 309-263-8611 |
Dr. Robert Mathew Becker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 155 E Courtland St, Morton, IL 61550 Phone: 309-263-6747 Fax: 309-263-6744 |
Sue A Feather, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 829 W Jackson St, Morton, IL 61550 Phone: 309-266-8881 |