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Contact Information

OPTOMETRIC EYECARE, INC
303 E MAIN ST
OLNEY, IL62450
 Phone: 618-395-2676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for OPTOMETRIC EYECARE, INC

NPI Number 1376789578
LBN Legal business name OPTOMETRIC EYECARE, INC
Authorized official CLARK DESHON - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/18/2008
Last updated 08/31/2018 - About 8 years ago
Identifiers
IL License # 046-008793
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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