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Contact Information

MARK D ESAREY
1700 18TH STREET
CHARLESTON, IL61920
 Phone: 217-345-6600
 Fax: 217-345-6622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK D ESAREY

NPI # 1790867604
LBN Legal business name MARK D ESAREY
Authorized official MARK ESAREY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 03/05/2012 - About 14 years ago
Identifiers
IL Medicaid 1548267099
IL Other 1790867604 AFLAC
IL Other 1584009 BCBS PROV ID#
IL Other 1790867604 HEALTH ALLIANCE
IL Other 1790867604 OSF HEALTHCARE
IL Other 1790867604 PERSONAL CARE
IL Other DF5536 RAILROAD MEDICARE
IL Other 1790867604 TRICARE
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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