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Contact Information

HEYDE EYE CENTER S.C
400 NE SAINT MARK CT
PEORIA, IL61603-3717
 Phone: 309-674-1234
 Fax: 309-674-6422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for HEYDE EYE CENTER S.C

NPI # 1205829389
LBN Legal business name HEYDE EYE CENTER S.C
Authorized official RAYMOND HEYDE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2005
Last updated 06/17/2010 - About 16 years ago
Identifiers
IL License # 036075507
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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