Dr. Sreenivasa Basavanthappa, MD
Dr. Sreenivasa Basavanthappa, MD is an Ophthalmology in Bloomington, Illinois. Qualified in 1997, 29 years ago. Practices with Gailey Eye Clinic, Ltd, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 29
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2501 E College Ave Ste BBloomington, IL 61704-2484
Phone: (309) 557-8666
Fax: (309) 827-8027
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 322 W Marion Ave, Forsyth, IL 62535-1064 — (217) 872-7404
Specialties & licences
| Retina Specialist (Ophthalmology) Physician (primary) | Taxonomy 207WX0107X · Licence 03-6163408 (IL) |
|---|
Record details
| NPI number | 1497953871 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 6, 2007 |
| Last updated in NPPES | December 28, 2023 |
| Certification date | December 28, 2023 |
| Mailing address | 1008 N Main St, Bloomington, IL 61701-1784 |
Medicare enrollment
| Medicare specialty | OPHTHALMOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Gailey Eye Clinic, Ltd — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |