| Von Holten Eyecare, Ltd. | |
|
25824 W Eames St, Channahon, IL 60410-5313 | |
| (815) 521-9950 | |
| Not Available |
| Full Name | Von Holten Eyecare, Ltd. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 25824 W Eames St, Channahon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508889866 | NPI | - | NPPES |
| 213926 | Other | IL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009558 (Illinois) | Primary |
| Provider Name | Ryan Lynn Vonholten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013976042 PECOS PAC ID: 3577546936 Enrollment ID: I20040608001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Von Holten Eyecare, Ltd. 24541 S Blackhawk Dr, Channahon, IL 60410-9303 Ph: (815) 922-3545 | Von Holten Eyecare, Ltd. 25824 W Eames St, Channahon, IL 60410-5313 Ph: (815) 521-9950 |
Dr. Ryan Lynn Von Holten, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25824 W Eames St, Channahon, IL 60410 Phone: 815-521-9950 | |
Advanced Focus Vision Center Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 24735 W Eames St, Suite 11, Channahon, IL 60410 Phone: 815-467-0077 Fax: 815-467-0088 |