Heartland Eyecare Group

NPI 1487849162 - Optometrist - 152W00000X

NPI Details
NPI 1487849162
Enumeration Date 09/06/2007
Last Updated 09/06/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LANCE WILLIAM LANCE
Position PRESIDENT
Phone (309) 661-9191
Fax (309) 661-2259
Practice Location
2501 E COLLEGE AVE
SUITE B
BLOOMINGTON IL, 61704-2484, US
Phone (309) 661-9191
Fax (309) 661-2259
Business Location
2501 E COLLEGE AVE
SUITE B
BLOOMINGTON IL, 61704-2484, US
Phone (309) 661-9191
Fax (309) 661-2259
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 46-8260
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According to our database, Heartland Eyecare Group NPI is 1487849162, taxonomy code is 152W00000X and license number is 46-8260, license state is located at Illinois. Heartland Eyecare Group physically located at 2501 E College Ave, Bloomington IL, 61704-2484. NPI Number 1033115704 has the healthcare provider type.

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1487849162 NPI number is provided on an as is basis without warranty of any kind. 1487849162 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland Eyecare Group are for informational purposes only.