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Contact Information

EYE SURGICAL ASSOCIATES SC
1505 EASTLAND DR
SUITE 2200
BLOOMINGTON, IL61701-3534
 Phone: 309-662-7700
 Fax: 309-662-0829
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYE SURGICAL ASSOCIATES SC

NPI # 1396771002
LBN Legal business name EYE SURGICAL ASSOCIATES SC
Authorized official EDWARD COLLOTON - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 04/28/2010 - About 16 years ago
Identifiers
IL License # 042006101
IL Other 005700231 BC/BS PROV #
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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