Clint T Taylor Od LLC

NPI #1245410281 in Carmi, Illinois

Provider Information

NPI Number: 1245410281
Entity Type: Organization
Organization Name: Clint T Taylor Od LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 7, 2007
Last Updated: Jan 25, 2008

Practice Location

Address: 304 S CHURCH ST
City: Carmi
State: Illinois
ZIP Code: 62821-1604
Phone: (618) 382-4683

Authorized Official

Name: DR. CLINT T. TAYLOR, OD
Title: OWNER
Phone: (618) 382-4683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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