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Contact Information

MULFORD EYE CARE LLC
4301 N MULFORD RD
LOVES PARK, IL61111
 Phone: 815-282-5500
 Fax: 815-633-2305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MULFORD EYE CARE LLC

NPI # 1215010236
LBN Legal business name MULFORD EYE CARE LLC
Authorized official RICHARD ANDERSON - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 04/08/2008 - About 18 years ago
Identifiers
Other 0010184023 BCBS
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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