Percav, Inc

NPI 1043304710 - Optometrist - 152W00000X

NPI Details
NPI 1043304710
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDWARD EDWARD
Position PRESIDENT
Phone (618) 244-0508
Fax
Practice Location
112 S 42ND STREET
MOUNT VERNON IL, 62864, US
Phone (618) 244-0508
Fax
Business Location
112 S 42ND STREET
MOUNT VERNON IL, 62864, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Percav, Inc NPI is 1043304710, taxonomy code is 152W00000X Percav, Inc physically located at 112 S 42nd Street, Mount Vernon IL, 62864. NPI Number 1033115704 has the healthcare provider type.

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1043304710 NPI number is provided on an as is basis without warranty of any kind. 1043304710 is maintained by the National Plan & Provider Enumeration System. The contents of Percav, Inc are for informational purposes only.