International Eyecare Center, INC

NPI #1124205166 in Hannibal, Missouri

Provider Information

NPI Number: 1124205166
Entity Type: Organization
Organization Name: International Eyecare Center, INC
Primary Specialty: Optometrist
Enumeration Date: Jan 22, 2008
Last Updated: Jan 20, 2021

Practice Location

Address: 215 PROGRESS RD
City: Hannibal
State: Missouri
ZIP Code: 63401-6637
Phone: (573) 248-1616

Authorized Official

Name: CATHY LEE SHORT
Title: CREDENTIALING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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