Eye Specialist Of Southern Illinois, Llc in Marion - Ophthalmology
Eye Specialist Of Southern Illinois, Llc - NPI 1528020401
Eye Specialist Of Southern Illinois, Llc is a Ophthalmology in Marion, Illinois. Eye Specialist Of Southern Illinois, Llc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Eye Specialist Of Southern Illinois, Llc is 1528020401. The last update date is 2007-10-03.
Eye Specialist Of Southern Illinois, Llc's current location address is 1000 W Deyoung St, Marion, Illinois. You can contact this provider via phone number 6189930068 and fax number 6189930968. The mailing address for Eye Specialist Of Southern Illinois, Llc is 1000 W Deyoung St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eye Specialist Of Southern Illinois, Llc |
|---|---|
| Address | 1000 W Deyoung St, Marion, Illinois |
| Phone Number | 6189930068 |
| Fax Number | 6189930968 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Anderson C David |
| Telephone Number | 5733359175 |
NPI Number Detail
| NPI Number | 1528020401 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | 1000 W Deyoung St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591630 |
| Phone Number | 6189930068 |
| Fax Number | 6189930968 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10032015 | IL | BLUECROSS BLUESHIELD | |
| CK8965 | IL | RAILROAD MEDICARE |
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What is the unique provider identifier assigned to Eye Specialist Of Southern Illinois, Llc?
The Eye Specialist Of Southern Illinois, Llc has been issued the NPI (National Provider Identifier) 1528020401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Eye Specialist Of Southern Illinois, Llc by the Centers for Medicare & Medicaid Services?
The Eye Specialist Of Southern Illinois, Llc has been assigned the NPI (National Provider Identifier) 1528020401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Eye Specialist Of Southern Illinois, Llc is geographically located?
The Eye Specialist Of Southern Illinois, Llc is physically situated at the following location: 1000 W Deyoung St, Marion, IL, 629591630.
What is Eye Specialist Of Southern Illinois, Llc's area of expertise and its corresponding taxonomy classification?
The Eye Specialist Of Southern Illinois, Llc's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.
When was the information regarding Eye Specialist Of Southern Illinois, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eye Specialist Of Southern Illinois, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-03.
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