National Provider Identifier Database

SALEM EYE CLINIC LLC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

SALEM EYE CLINIC LLC
400 NORTH BROADWAY
SALEM, IL62881
Phone: 618-548-3506
Fax: 618-548-2555
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SALEM EYE CLINIC LLC

NPI Number 1205980786
Legal business name
LBN
SALEM EYE CLINIC LLC
Authorized official ALAN MONTGOMERY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/22/2007
Last updated 03/28/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 06132027 BLUE CROSS BLUE SHIELD

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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