National Provider Identifier Database

EYE SPECIALIST OF SOUTHERN ILLINOIS LLC
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

EYE SPECIALIST OF SOUTHERN ILLINOIS, LLC
1000 W DEYOUNG ST
MARION, IL62959-1630
Phone: 618-993-0068
Fax: 618-993-0968
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for EYE SPECIALIST OF SOUTHERN ILLINOIS, LLC

NPI Number 1528020401
Legal business name
LBN
EYE SPECIALIST OF SOUTHERN ILLINOIS, LLC
Authorized official DAVID ANDERSON - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/05/2006
Last updated 10/03/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 10032015 BLUECROSS BLUESHIELD
  • IL Other: CK8965 RAILROAD MEDICARE

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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