Decatur Eyecare Associates

NPI #1053572255 in Decatur, Illinois

Provider Information

NPI Number: 1053572255
Entity Type: Organization
Organization Name: Decatur Eyecare Associates
Primary Specialty: Optometrist
Enumeration Date: Jun 19, 2008
Last Updated: Jun 19, 2008

Practice Location

Address: 1270 S JASPER ST
City: Decatur
State: Illinois
ZIP Code: 62521-3531
Phone: (217) 422-8032

Authorized Official

Name: DR. CHARLES E BEDFORD, OD
Title: OPTOMETRIST/OWNER
Phone: (217) 422-8032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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