KOKE MILL OPTICAL; NPI #1326458464

Contact Information

KOKE MILL OPTICAL

2709 S KOKE MILL RD
SPRINGFIELD, IL 62711

Phone: 217-698-9477
Fax: 217-698-9474
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for KOKE MILL OPTICAL

NPI #	`1326458464`
LBN Legal business name	KOKE MILL OPTICAL
Authorized official	DORSEY HENDERSON - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/29/2014
Last updated	10/22/2019 - About 7 years ago
Identifiers	n/a

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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KOKE MILL OPTICAL

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for KOKE MILL OPTICAL

Reviews for KOKE MILL OPTICAL