Ippolito Teleoptometric Service, P.c.

NPI #1205670817 in Springfield, Illinois

Provider Information

NPI Number: 1205670817
Entity Type: Organization
Organization Name: Ippolito Teleoptometric Service, P.c.
Primary Specialty: Optometrist
Enumeration Date: Jun 20, 2024
Last Updated: Jun 20, 2024

Practice Location

Address: 801 ADLAI STEVENSON DR
City: Springfield
State: Illinois
ZIP Code: 62703-4261
Phone: (877) 506-0002

Authorized Official

Name: JESSICA FELICIANO
Title: CREDENTIALING MANAGER
Phone: (513) 586-2863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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