Optometric Eyecare, INC

NPI #1376789578 in Olney, Illinois

Provider Information

NPI Number: 1376789578
Entity Type: Organization
Organization Name: Optometric Eyecare, INC
Subpart: Yes (part of a larger organization)
Parent Organization: OPTOMETRIC EYECARE, INC
Primary Specialty: Optometrist
Enumeration Date: Dec 18, 2008
Last Updated: Aug 31, 2018

Practice Location

Address: 303 E MAIN ST
City: Olney
State: Illinois
ZIP Code: 62450
Phone: (618) 395-2676

Authorized Official

Name: DR. CLARK EDWARD DESHON, OD, FAAO
Title: PRESIDENT
Phone: (618) 395-2676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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