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Individual

DIRK J. BOCHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Mailing address
PO BOX 1178, MARION, IL 62959-7678
(618) 993-5686
(618) 997-6250

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009920
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046009920
IL
01
081470009
MEDICARE NSC NUMBER
IL
01
0814870001
MEDICARE NSC NUMBER
IL
01
0814870003
MEDICARE NSC NUMBER
IL
01
0814870005
MEDICARE NSC NUMBER
IL
01
0814870019
MEDICARE NSC NUMBER
IL
01
124046
HEALTH ALLIANCE
01
413010
HARMONY HEALTH PLAN
01
IN3220
EYEMED
01
P00434353
MEDICARE RAILROAD
IL
Enumeration date
10/18/2006
Last updated
04/08/2026
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