Prairie Eye Center Ltd

NPI #1376773598 in Beardstown, Illinois

Provider Information

NPI Number: 1376773598
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: Jul 22, 2009
Last Updated: Feb 17, 2021

Practice Location

Address: 106 E MAIN ST
City: Beardstown
State: Illinois
ZIP Code: 62618-1241
Phone: (217) 323-1146

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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