Midwest Vision Clinic Plc

NPI #1154345551 in Fulton, Illinois

Provider Information

NPI Number: 1154345551
Entity Type: Organization
Organization Name: Midwest Vision Clinic Plc
Primary Specialty: Optometrist
Enumeration Date: Jul 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1130 17TH STREET
City: Fulton
State: Illinois
ZIP Code: 61252
Phone: (815) 589-2252

Authorized Official

Name: BRIAN W PECK, OD
Title: OWNER OPTOMETRIST
Phone: (815) 589-2552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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