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Contact Information

C E MYERS MD
5401 N KNOXVILLE AVE
SUITE 106
PEORIA, IL61614-5098
 Phone: 309-693-2710
 Fax: 309-693-9460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for C E MYERS MD

NPI # 1376711283
LBN Legal business name C E MYERS MD
Authorized official CLIFFORD MYERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2008
Last updated 09/15/2008 - About 18 years ago
Identifiers
IL License # 36060306
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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