E Dale Brock Od Pc in West Frankfort - Optometrist
E Dale Brock Od Pc - NPI 1275716839
E Dale Brock Od Pc is a Optometrist in West Frankfort, Illinois. E Dale Brock Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for E Dale Brock Od Pc is 1275716839. The last update date is 2009-09-02.
E Dale Brock Od Pc's current location address is 202 E Clark St, West Frankfort, Illinois. You can contact this provider via phone number 6189373126 and fax number 6189373344. The mailing address for E Dale Brock Od Pc is 202 E Clark St, West Frankfort, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | E Dale Brock Od Pc |
|---|---|
| Address | 202 E Clark St, West Frankfort, Illinois |
| Phone Number | 6189373126 |
| Fax Number | 6189373344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Brock Dale Ernest |
| Credentials | OD PC |
| Telephone Number | 6189373126 |
NPI Number Detail
| NPI Number | 1275716839 |
|---|---|
| Provider Enumeration Date | 2007-12-06 |
| Last Updated Date | 2009-09-02 |
Provider Mailing Address Detail
| Address | 202 E Clark St |
|---|---|
| City | West Frankfort |
| State | Illinois (IL) |
| Post Code | 628962706 |
| Phone Number | 6189373126 |
| Fax Number | 6189373344 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Post Comment/ Review Below
What is the unique provider identifier assigned to E Dale Brock Od Pc?
The E Dale Brock Od Pc has been issued the NPI (National Provider Identifier) 1275716839 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where E Dale Brock Od Pc is geographically located?
The E Dale Brock Od Pc is physically situated at the following location: 202 E Clark St, West Frankfort, IL, 628962706.
What is E Dale Brock Od Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for E Dale Brock Od Pc is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275716839 to E Dale Brock Od Pc?
The Centers for Medicare & Medicaid Services assigned the 1275716839 to E Dale Brock Od Pc on 2007-12-06.
As of what date was the information regarding E Dale Brock Od Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to E Dale Brock Od Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-02.