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Contact Information

GREAT RIVERS EYE CARE
519 S STATE ST
JERSEYVILLE, IL62052-2241
 Phone: 217-342-2672
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GREAT RIVERS EYE CARE · (Female)

NPI # 1770294449
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2022
Last updated 10/09/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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