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Contact Information

BLANCO KAYS CORGIAT EYECARE, LLC
1802 DIVISION ST
SUITE 205
MORRIS, IL60450-1182
 Phone: 815-942-3042
 Fax: 815-942-3062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BLANCO KAYS CORGIAT EYECARE, LLC

NPI # 1568647634
LBN Legal business name BLANCO KAYS CORGIAT EYECARE, LLC
Authorized official ANGELA PARTRIDGE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2008
Last updated 04/13/2021 - About 5 years ago
Identifiers
IL License # 466809
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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