Mid-State Eye Partners INC

NPI #1396201836 in Clinton, Illinois

Provider Information

NPI Number: 1396201836
Entity Type: Organization
Organization Name: Mid-State Eye Partners INC
Primary Specialty: Optometrist
Enumeration Date: Feb 19, 2019
Last Updated: Feb 19, 2019

Practice Location

Address: 125 W MAIN ST
City: Clinton
State: Illinois
ZIP Code: 61727-1611
Phone: (217) 935-9451

Authorized Official

Name: BRADLEY STEWART GRANT, OD
Title: OWNER
Phone: (217) 935-9451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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