Prairie Eye Center, Ltd

NPI #1366035644 in Lincoln, Illinois

Provider Information

NPI Number
1366035644
Entity Type
Organization
Organization Name
Prairie Eye Center, Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
PRAIRIE EYE CENTER, LTD
Primary Specialty
Optometrist
Enumeration Date
Feb 17, 2021
Last Updated
Feb 17, 2021

Practice Location

Address
518 BROADWAY ST
ZIP Code
62656-2706
Phone
(217) 732-6062

Authorized Official

Name
JASON LANG
Title
BILLING ADMINISTRATOR
Phone
(217) 698-3030

Specialties & Taxonomy Codes

Specialty
Ophthalmology
Optometrist

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