Eye Surgical Associates Sc
NPI #1396771002 in Bloomington, Illinois
Provider Information
- NPI Number
- 1396771002
- Entity Type
- Organization
- Organization Name
- Eye Surgical Associates Sc
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Jun 24, 2006
- Last Updated
- Apr 28, 2010
Practice Location
- Address
- 1505 EASTLAND DR
- Address 2
- SUITE 2200
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3534
- Phone
- (309) 662-7700
Authorized Official
- Name
- DR. EDWARD L COLLOTON, MD
- Title
- DOCTOR
- Phone
- (309) 662-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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