Central Illinois Optometric Associates Ltd

NPI #1336265875 in Virden, Illinois

Provider Information

NPI Number: 1336265875
Entity Type: Organization
Organization Name: Central Illinois Optometric Associates Ltd
Primary Specialty: Optometrist
Enumeration Date: Mar 22, 2007
Last Updated: Apr 18, 2011

Practice Location

Address: 119 N SPRINGFIELD ST
City: Virden
State: Illinois
ZIP Code: 62690-1455
Phone: (217) 965-3306

Authorized Official

Name: KEITH HEDRICK
Title: CEO
Phone: (217) 965-3306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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