Susan M Penner

OD | Optometrist | 37+ years Exp


  
134 E Blackhawk Dr, Byron
Illinois, 61010

 815-234-2020     815-234-7070Maps & Directions
Susan M Penner is a Byron, Illinois based female Optometrist with 37 years of experience in Optometry. She completed her graduation from Indiana University - School Of Optometry in 1987. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Susan M Penner is 046-008009 for Optometry in Illinois.
Susan M Penner 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. She 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. She 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:
Susan M Penner 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: 37+ years
Medical School Attended:Indiana University - School Of Optometry
Graduation Year:1987
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:134 E Blackhawk Dr, Byron,
Illinois, 61010
Phone:815-234-2020
Fax:815-234-7070
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: 6406825918
Enrollment ID: I20070913000816
NPI Number: 1891842464
NPI Enumeration Date: 04 Jan, 2007
NPI Last Update On: 18 Jun, 2018

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan M Penner are as mentioned below.
License NumberSpecializationStateStatus
046-008009Optometry IllinoisPrimary
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 Susan M Penner has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Christina J. Levi O D P C. (9436210762)33
Other Medical Identifiers:
Other legacy medical identifiers associated with Susan M Penner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
L08182OtherIllinoisPIN
046-008009OtherIllinoisOPTOMETRY LICENSE
4515286OtherIllinoisBLUE CROSS BLUE SHIELD
7184011OtherIllinoisBLUE CROSS BLUE SHIELD
CL7273OtherIllinoisRAILROAD MEDICARE GROUP
410033446OtherIllinoisRAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 134 E Blackhawk Dr,
Byron, Illinois
Zip: 61010-8610
Phone Number: 815-234-2020
Fax Number: 815-234-7070
Patients can reach Susan M Penner at 134 E Blackhawk Dr, Byron, Illinois or can call to book an appointment on 815-234-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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