Illiana Eyecare INC

NPI #1215040142 in Cedar Lake, Indiana

Provider Information

NPI Number: 1215040142
Entity Type: Organization
Organization Name: Illiana Eyecare INC
Primary Specialty: Optometrist
Enumeration Date: Aug 16, 2006
Last Updated: Aug 2, 2016

Practice Location

Address: 13115 WICKER AVENUE
Address 2: SUITE E
City: Cedar Lake
State: Indiana
ZIP Code: 46303
Phone: (219) 374-7800

Authorized Official

Name: DR. JILL S DAVIDS, O.D.
Title: OPTOMETRIST
Phone: (219) 669-1012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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