Eyesite-Illinois Valley, L.l.c.

NPI #1245371509 in Ottawa, Illinois

Provider Information

NPI Number: 1245371509
Entity Type: Organization
Organization Name: Eyesite-Illinois Valley, L.l.c.
Primary Specialty: Optometrist
Enumeration Date: Feb 9, 2007
Last Updated: Jan 20, 2021

Practice Location

Address: 925 CLINTON ST
City: Ottawa
State: Illinois
ZIP Code: 61350-2037
Phone: (815) 434-7970

Authorized Official

Name: KENT KUNKEL, O.D.
Title: OWNER
Phone: (815) 434-7970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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