Derek Hennig is a Charleston, Illinois based male Optometrist with 7 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Derek Hennig is 046011094 for Optometry in Illinois. Derek Hennig examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Derek Hennig 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:
Optometry
Credentials:
OD
Experience:
7+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
2017
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1700 18th St, Charleston, Illinois, 61920-3607
Phone:
217-345-6600
Fax:
217-345-6622
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:
3072882331
Enrollment ID:
I20170630000848
NPI Number:
1215466008
NPI Enumeration Date:
06 Jun, 2017
NPI Last Update On:
06 Jun, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek Hennig are as mentioned below.
License Number
Specialization
State
Status
046011094
Optometry
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 Derek Hennig has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lifetime Eye Care Pc (0244634541)
3
Mark D Esarey (4688672496)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1700 18th St, Charleston, Illinois
Zip:
61920-3607
Phone Number:
217-345-6600
Fax Number:
217-345-6622
Patients can reach Derek Hennig at 1700 18th St, Charleston, Illinois or can call to book an appointment on 217-345-6600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.