Individual
DR. DENA L BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
101 N MAPLE ST, BRIGHTON, IL 62012-1053
(618) 372-7000
(618) 371-7003
Mailing address
101 N MAPLE ST, BRIGHTON, IL 62012-1053
(618) 372-7000
(618) 371-7003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008614
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008614
—
IL
01
—
128048
GHP
IL
01
—
168095
COLE
IL
01
—
2280644
UHC
IL
01
—
4040370
BCBS
IL
01
—
438769
HEALTHLINK
IL
01
—
5075438
AETNA
IL
01
—
IL8614
EYE MED
IN
01
—
U43513
MERCY
IL
01
—
U43513
MERCY
IN
Enumeration date
03/28/2006
Last updated
07/09/2007
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