John Francis Couillard O.D.

NPI 1053404780 - Optometrist - 152W00000X

NPI Details
NPI 1053404780
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2103 E. WASHINGTON ST.
SUITE 1D
BLOOMINGTON IL, 61701-4365, US
Phone (309) 662-2277
Fax (309) 663-6472
Business Location
2103 E. WASHINGTON ST.
SUITE 1D
BLOOMINGTON IL, 61701-4365, US
Phone (309) 662-2277
Fax (309) 663-6472
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Dr. John Francis Couillard O.D. NPI is 1053404780, taxonomy code is 152W00000X John Francis Couillard O.D. physically located at 2103 E. Washington St., Bloomington IL, 61701-4365. NPI Number John Francis Couillard O.D. has the Individual type.

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1053404780 NPI number is provided on an as is basis without warranty of any kind. 1053404780 is maintained by the National Plan & Provider Enumeration System. The contents of John Francis Couillard O.D. are for informational purposes only.