Lynn Wollenberg (NPI# 1679514038, PAC ID# 8426171539) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1679514038 |
PAC ID by PECOS | 8426171539 |
Professional Enrollment ID | I20120504000322 |
Full Name | Lynn Wollenberg |
Organization Legal Name | GAILEY EYE CLINIC, LTD |
Address |
646 W Pershing Rd Decatur IL 62526-1633 |
Phone Number | 2178750300 |
Gender | F |
Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
Graduation Year | 1989 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 2769469337 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
646 W Pershing Rd, Decatur, IL 62526-1633 | 2178750300 | 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 |
Shawn M Koehler | Optometry | Gailey Eye Clinic, Ltd | 2121 Marquette Rd, Peru, IL 61354-1588 |
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 |
Street Address |
646 W PERSHING RD |
City | DECATUR |
State | IL |
Zip | 62526-1633 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dionne C Okafor | Anesthesiology | Anesthesia Pain Services LLC | 646 W Pershing Rd, Decatur, IL 62526-1633 |
David W Miller | Optometry | Gailey Eye Clinic, Ltd | 646 W Pershing Rd, Decatur, IL 62526-1633 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pamela Starr Burkhart | Clinical Social Worker | 3040 N University Ave, Suite 2, Decatur, IL 62526-1393 | |
Randy C Kneezel | Oral Surgery | Jurgens and Kneezel Ltd | 2727 N Oakland Ave, Decatur, IL 62526-1586 |
Meera Yerrabolu | Internal Medicine | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
Richard Dilorenzo | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
Sudhakar K Sheth | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
Ralph P Zehler Iii | Physician Assistant | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
Victor Eloy | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
Douglas J Dove | Neurology | 2 Memorial Dr, Suite 200, Decatur, IL 62526-1590 | |
Oliver N R Dold | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
Ratul Raychaudhuri | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
Find all physicians in zip 62526 |
City | DECATUR |
Zip Code | 62526 |
Specialty | OPTOMETRY |
City + Specialty | DECATUR + 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.