Southern Illinois Eye Care Pllc

NPI #1144375866 in Sparta, Illinois

Provider Information

NPI Number: 1144375866
Entity Type: Organization
Organization Name: Southern Illinois Eye Care Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN ILLINOIS EYECARE, PC
Primary Specialty: Optometrist
Enumeration Date: Jan 24, 2007
Last Updated: Oct 14, 2025

Practice Location

Address: 520 E BROADWAY ST
City: Sparta
State: Illinois
ZIP Code: 62286-1889
Phone: (618) 443-5252

Authorized Official

Name: LAWRENCE GORDON SOELLNER, OD
Title: MANAGER
Phone: (618) 826-4521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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