3f Vision Lcc

NPI 1124214051 - Optometrist - 152W00000X

NPI Details
NPI 1124214051
Enumeration Date 09/25/2007
Last Updated 12/30/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JESSICA JESSICA
Position DIRECTOR OF CENTRAL OPERATIONS
Phone (618) 233-7800
Fax (618) 233-7290
Practice Location
2525 GREEN MOUNT COMMONS DR
BELLEVILLE IL, 62221-6724, US
Phone (618) 233-7800
Fax (618) 233-7290
Business Location
40 E NORTH ST
EUREKA MO, 63025-1205, US
Phone (636) 200-4393
Fax (636) 938-2650
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 0046.009944
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According to our database, 3f Vision Lcc NPI is 1124214051, taxonomy code is 152W00000X and license number is 0046.009944, license state is located at Illinois. 3f Vision Lcc physically located at 2525 Green Mount Commons Dr, Belleville IL, 62221-6724. NPI Number 1033115704 has the healthcare provider type.

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1124214051 NPI number is provided on an as is basis without warranty of any kind. 1124214051 is maintained by the National Plan & Provider Enumeration System. The contents of 3f Vision Lcc are for informational purposes only.