Mark E Brewer O D P C

NPI #1356492292 in East Peoria, Illinois

Provider Information

NPI Number: 1356492292
Entity Type: Organization
Organization Name: Mark E Brewer O D P C
Primary Specialty: Optometrist
Enumeration Date: Jan 16, 2007
Last Updated: Jan 28, 2013

Practice Location

Address: 401 RIVER RD
City: East Peoria
State: Illinois
ZIP Code: 61611-2082
Phone: (309) 694-3951

Authorized Official

Name: MARK BREWER
Title: PRESIDENT
Phone: (309) 694-3951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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