Provider Demographics
NPI:1235493198
Name:FOSTER, RACHEL MARGARET (OD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARGARET
Last Name:FOSTER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:915 N MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COLUMBIA
Mailing Address - State:IL
Mailing Address - Zip Code:62236-1157
Mailing Address - Country:US
Mailing Address - Phone:618-281-2400
Mailing Address - Fax:618-281-2402
Practice Address - Street 1:250 E ELM ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62263-1710
Practice Address - Country:US
Practice Address - Phone:618-327-3231
Practice Address - Fax:618-327-8748
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-010560152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist