Superior Performance Eye Care Specialst

NPI #1265748354 in Carthage, Illinois

Provider Information

NPI Number: 1265748354
Entity Type: Organization
Organization Name: Superior Performance Eye Care Specialst
Primary Specialty: Optometrist
Enumeration Date: Aug 26, 2010
Last Updated: Aug 26, 2010

Practice Location

Address: 514 WABASH AVE
City: Carthage
State: Illinois
ZIP Code: 62321-1360
Phone: (217) 356-9750

Authorized Official

Name: DANIEL LEONARD HAYDEN, OD
Title: OWNER
Phone: (217) 357-9750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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