Individual
DR. JOHN ROBERT EIGENBRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1950 EDWARDSVILLE CLUB PLAZA, EDWARDSVILLE, IL 62025-3517
(618) 656-3199
(618) 656-3099
Mailing address
1950 EDWARDSVILLE CLUB PLAZA, EDWARDSVILLE, IL 62025-3517
(618) 656-3199
(618) 656-3099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032220
BLUE CROSS BLUE SHIELD IL
IL
01
—
125215
HEALTHLINK
IL
01
—
125419
ANTHEM BCB SHIELD MO
IL
01
—
203722190
UNITED HEALTH CARE
IL
01
—
274260
GHP
IL
01
—
5932266
AETNA
IL
01
—
IL8144
EYEMED
IL
01
—
POO429582
PTAN RAIL RD MEDICARE
IL
Enumeration date
07/13/2005
Last updated
06/03/2009
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