Salem Eye Clinic LLC

NPI #1205980786 in Salem, Illinois

Provider Information

NPI Number: 1205980786
Entity Type: Organization
Organization Name: Salem Eye Clinic LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 22, 2007
Last Updated: Mar 28, 2008

Practice Location

Address: 400 NORTH BROADWAY
City: Salem
State: Illinois
ZIP Code: 62881
Phone: (618) 548-3506

Authorized Official

Name: MR. ALAN D MONTGOMERY, OD
Title: OWNER
Phone: (618) 548-3506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Elizabeth Wolff, O.D.	Optometrist	Salem	AI Deep Dive
Haley Nicole Rambo, OD	Optometrist	Salem	AI Deep Dive

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