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ILLINOIS CORRECTIONAL INDUSTRIES

Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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Contact Information

ILLINOIS CORRECTIONAL INDUSTRIES
2600 N BRINTON AVE
DIXON, IL  61021-9532
 Phone: 815-288-3010
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

 332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ILLINOIS CORRECTIONAL INDUSTRIES

NPI # 1780809285
LBN Legal business name ILLINOIS CORRECTIONAL INDUSTRIES
Authorized official JAMES UNDERWOOD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 07/02/2008 - About 18 years ago
Identifiers
IL Medicaid 100042652001
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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