Behold Star Eyes Limited Liability Company Utang Ekpo Sole Mbr

NPI #1003575762 in Danville, Illinois

Provider Information

NPI Number: 1003575762
Entity Type: Organization
Organization Name: Behold Star Eyes Limited Liability Company Utang Ekpo Sole Mbr
Primary Specialty: Optometrist
Enumeration Date: Dec 9, 2021
Last Updated: Dec 9, 2021

Practice Location

Address: 3649 N VERMILION ST
City: Danville
State: Illinois
ZIP Code: 61832-1118
Phone: (217) 431-4776

Authorized Official

Name: UTANG EKPO, OD
Title: MANAGER
Phone: (678) 799-0857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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