Center for Sight of Central Illinois Sc

NPI #1093854820 in Decatur, Illinois

Provider Information

NPI Number: 1093854820
Entity Type: Organization
Organization Name: Center for Sight of Central Illinois Sc
Primary Specialty: Ophthalmology
Enumeration Date: Feb 6, 2007
Last Updated: Apr 24, 2008

Practice Location

Address: 2442 N ROUTE 121
City: Decatur
State: Illinois
ZIP Code: 62526-9461
Phone: (217) 233-3101

Authorized Official

Name: DR. MARCUS S DERANIAN, MD
Title: OWNER
Phone: (217) 233-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Durable Medical Equipment & Medical Supplies	332B00000X
Ophthalmology	207W00000X	Primary

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