Dr. Sreenivasa Basavanthappa is a Bloomington, Illinois based male Ophthalmologist with 29 years of experience in Ophthalmology. He completed his graduation from Other in 1995. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Sreenivasa Basavanthappa is 03-6163408 in Illinois. Dr. Sreenivasa Basavanthappa is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Sreenivasa Basavanthappa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
29+ years
Medical School Attended:
Other
Graduation Year:
1995
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2501 E College Ave Ste B, Bloomington, Illinois, 61704-2484
Phone:
309-557-8666
Fax:
309-827-8027
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4688863954
Enrollment ID:
I20200513000970
NPI Number:
1497953871
NPI Enumeration Date:
06 Jul, 2007
NPI Last Update On:
28 Dec, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sreenivasa Basavanthappa are as mentioned below.
License Number
Specialization
State
Status
03-6163408
Illinois
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Sreenivasa Basavanthappa has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Clemson Eye Pa (4183537764)
45
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sreenivasa Basavanthappa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110096239A
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1008 N Main St, Bloomington, Illinois
Zip:
61701-1784
Phone Number:
309-557-8666
Fax Number:
309-661-0545
Patients can reach Dr. Sreenivasa Basavanthappa at 2501 E College Ave Ste B, Bloomington, Illinois or can call to book an appointment on 309-557-8666. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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