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Contact Information

CENTER FOR SIGHT CENTRAL IL I SC
304 W HAY ST
SUITE 311
DECATUR, IL62526-6328
 Phone: 217-877-5050
 Fax: 217-877-9711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CENTER FOR SIGHT CENTRAL IL I SC · (Female)

NPI # 1174667448
Status Active
Credentials
Entity Individual
Enumeration date 02/19/2007
Last updated 09/23/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036054803
  • IL License # 046008823
  • IL Medicaid 036054803
  • IL Medicaid 046008823
  • IL Other 05815176 BLUE CROSS
  • IL Other 180022789 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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