Family Eye Care Of Ofallon Pc

NPI 1801926340 - Optometrist - 152W00000X

NPI Details
NPI 1801926340
Enumeration Date 03/06/2007
Last Updated 06/23/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VIVIAN M VIVIAN
Position OWNER OPTOMETRIST
Phone (618) 628-2903
Fax (618) 628-2913
Practice Location
852 CAMBRIDGE BOULEVARD
SUITE 200
O FALLON IL, 62269, US
Phone (618) 628-2903
Fax (618) 628-2913
Business Location
852 CAMBRIDGE BOULEVARD
SUITE 200
O FALLON IL, 62269, US
Phone (618) 628-2903
Fax (618) 628-2913
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046008375
Remove 1801926340 NPI Number
 

According to our database, Family Eye Care Of Ofallon Pc NPI is 1801926340, taxonomy code is 152W00000X and license number is 046008375, license state is located at Illinois. Family Eye Care Of Ofallon Pc physically located at 852 Cambridge Boulevard, O Fallon IL, 62269. NPI Number 1033115704 has the healthcare provider type.

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1801926340 NPI number is provided on an as is basis without warranty of any kind. 1801926340 is maintained by the National Plan & Provider Enumeration System. The contents of Family Eye Care Of Ofallon Pc are for informational purposes only.