Illiana Eyecare Inc

NPI 1215040142 - Optometrist - 152W00000X

NPI Details
NPI 1215040142
Enumeration Date 08/16/2006
Last Updated 01/16/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JILL S JILL
Position OPTOMETRIST
Phone (219) 669-1012
Fax
Practice Location
13115 WICKER AVENUE
SUITE E
CEDAR LAKE IN, 46303, US
Phone (219) 669-1012
Fax
Business Location
13115 WICKER AVENUE
SUITE E
CEDAR LAKE IN, 46303, US
Phone (219) 669-1012
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 046009654
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According to our database, Illiana Eyecare Inc NPI is 1215040142, taxonomy code is 152W00000X and license number is 046009654, license state is located at Indiana. Illiana Eyecare Inc physically located at 13115 Wicker Avenue, Cedar Lake IN, 46303. NPI Number 1033115704 has the healthcare provider type.

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1215040142 NPI number is provided on an as is basis without warranty of any kind. 1215040142 is maintained by the National Plan & Provider Enumeration System. The contents of Illiana Eyecare Inc are for informational purposes only.