Eye-mart Inc.

NPI 1013061795 - Optometrist - 152W00000X

NPI Details
NPI 1013061795
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DWIGHT M. DWIGHT
Position OWNER
Phone (815) 672-1161
Fax (815) 672-7581
Practice Location
104 E MAIN ST
STREATOR IL, 61364-2901, US
Phone (815) 672-1161
Fax (815) 672-7581
Business Location
104 E MAIN ST
STREATOR IL, 61364-2901, US
Phone (815) 672-1161
Fax (815) 672-7581
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Eye-mart Inc. NPI is 1013061795, taxonomy code is 152W00000X Eye-mart Inc. physically located at 104 E Main St, Streator IL, 61364-2901. NPI Number 1033115704 has the healthcare provider type.

1013061795 NPI number is provided on an as is basis without warranty of any kind. 1013061795 is maintained by the National Plan & Provider Enumeration System. The contents of Eye-mart Inc. are for informational purposes only.