| Lucem Llc | |
|
6256 E Riverside Blvd, Loves Park, IL 61111-4418 | |
| (815) 708-7083 | |
| (815) 904-6294 |
| Full Name | Lucem Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6256 E Riverside Blvd, Loves Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073002838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007443 (Illinois) | Primary |
| Provider Name | Donald E Wight |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043260144 PECOS PAC ID: 8628979093 Enrollment ID: I20040119000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucem Llc 6256 E Riverside Blvd, Loves Park, IL 61111-4418 Ph: (815) 708-7083 | Lucem Llc 6256 E Riverside Blvd, Loves Park, IL 61111-4418 Ph: (815) 708-7083 |
Vision Center Of Loves Park, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5020 N 2nd St, Loves Park, IL 61111 Phone: 815-282-3468 | |
Dr. Donald E Wight, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6256 E Riverside Blvd, Loves Park, IL 61111 Phone: 815-708-7083 Fax: 815-904-6294 | |
Rockford Eye & Laser Center Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 4301 N Mulford Rd, Loves Park, IL 61111 Phone: 815-227-0077 Fax: 815-227-5886 | |
Mulford Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4301 N Mulford Rd, Loves Park, IL 61111 Phone: 815-282-5500 Fax: 815-633-2305 | |
Dr. Jeffrey Allan Dannatt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5020 N 2nd St, Loves Park, IL 61111 Phone: 815-282-3468 Fax: 815-708-0182 | |
Dr. Roger H Hill, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4301 N Mulford Rd, Loves Park, IL 61111 Phone: 815-282-5500 Fax: 815-633-2305 |