Shawn M Koehler (NPI# 1336180876, PAC ID# 8224226519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1336180876 |
| PAC ID by PECOS | 8224226519 |
| Professional Enrollment ID | I20101230001024 |
| Full Name | Shawn M Koehler |
| Organization Legal Name | GAILEY EYE CLINIC, LTD |
| Address |
2121 Marquette Rd Peru IL 61354-1588 |
| Phone Number | 8152241100 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2769469337 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1008 N Main St, Bloomington, IL 61701-1784 | 3098295311 | GAILEY EYE CLINIC, LTD |
| 2121 Marquette Rd, Peru, IL 61354-1588 | 8152241100 | GAILEY EYE CLINIC, LTD |
| Organization Legal Name | GAILEY EYE CLINIC, LTD |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Edward Hazlehurst | Optometry | Gailey Eye Clinic, Ltd | 1008 N Main St, Bloomington, IL 61701-1784 |
| Siya Huo | Ophthalmology | Gailey Eye Clinic, Ltd | 2501 E College Ave, Suite B, Bloomington, IL 61704-2484 |
| Kevin H Patel | Ophthalmology | Gailey Eye Clinic, Ltd | 4100 Veterans Dr, Ottawa, IL 61350-9662 |
| Stephanie Anne Loy | Optometry | Gailey Eye Clinic, Ltd | 47 E Liberty Ln, Danville, IL 61832-1440 |
| Adam D Sobin | Optometry | Gailey Eye Clinic, Ltd | 101 N Pkwy Dr, Pekin, IL 61554-3932 |
| Jennifer N Thompson | Ophthalmology | Gailey Eye Clinic, Ltd | 8800 N Orange Prairie, Peoria, IL 61615 |
| Kenneth R Barba | Ophthalmology | Gailey Eye Clinic, Ltd | 220 E 1st St, Gibson City, IL 60936-1704 |
| Thomas E L Mahaffey | Optometry | Gailey Eye Clinic, Ltd | 2435 Village Green Pl, Champaign, IL 61822-7676 |
| Robert M Quilleash | Optometry | Gailey Eye Clinic, Ltd | 834 N Seminary St, Suite 103, Galesburg, IL 61401-2897 |
| Sarah Christine Sturgill | Optometry | Gailey Eye Clinic, Ltd | 1008 N Main St, Bloomington, IL 61701-1784 |
| Street Address |
2121 MARQUETTE RD |
| City | PERU |
| State | IL |
| Zip | 61354-1588 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dotun I Oyedijo | Radiation Oncology | 4391 Venture Dr, Peru, IL 61354-1018 | |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| David J Coynik | Dermatology | David J Coynik, Md,pc | 4413 Progress Blvd, Peru, IL 61354-1109 |
| Dale R Chilson | Otolaryngology | St. Margarets Hospital | 4040 Progress Blvd, Peru, IL 61354-1124 |
| Katrina Mcquilkin | Chiropractic | 3815 Progress Blvd, Suite C, Peru, IL 61354-1188 | |
| Bulent Mamikoglu | Otolaryngology | 4231 Progress Blvd, Suite 2, Peru, IL 61354-1193 | |
| Rakesh K Garg | Neurology | 4231 Progress Blvd, Peru, IL 61354-1193 | |
| Angela Benavides | Neurology | St. Margarets Hospital | 1400 Midtown Plaza, Peru, IL 61354-1269 |
| Lacey M Strack | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Rachel L Colby | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Find all physicians in zip 61354 | |||
| City | PERU |
| Zip Code | 61354 |
| Specialty | OPTOMETRY |
| City + Specialty | PERU + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.