Koke Mill Optical
NPI #1326458464 in Springfield, Illinois
Provider Information
- NPI Number
- 1326458464
- Entity Type
- Organization
- Organization Name
- Koke Mill Optical
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Apr 29, 2014
- Last Updated
- Oct 22, 2019
Practice Location
- Address
- 2709 S KOKE MILL RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711
- Phone
- (217) 698-9477
Authorized Official
- Name
- DORSEY HENDERSON
- Title
- MANAGER
- Phone
- (217) 698-9477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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