Site Vision Center, Pc

NPI 1104864115 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1104864115
Enumeration Date 06/02/2006
Last Updated 07/10/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RAYMOND JOHN RAYMOND
Position VICE PRESIDENT
Phone (217) 228-2060
Fax (217) 228-2066
Practice Location
3236 BROADWAY ST
QUINCY IL, 62301-3712, US
Phone (217) 228-2060
Fax (217) 228-2066
Business Location
3236 BROADWAY ST
QUINCY IL, 62301-3712, US
Phone (217) 228-2060
Fax (217) 228-2066
Toxanomy
Taxonomy Code 332B00000X
License State Illinois
License Number 0326000001
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According to our database, Site Vision Center, Pc NPI is 1104864115, taxonomy code is 332B00000X and license number is 0326000001, license state is located at Illinois. Site Vision Center, Pc physically located at 3236 Broadway St, Quincy IL, 62301-3712. NPI Number 1033115704 has the healthcare provider type.

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1104864115 NPI number is provided on an as is basis without warranty of any kind. 1104864115 is maintained by the National Plan & Provider Enumeration System. The contents of Site Vision Center, Pc are for informational purposes only.