International Eyecare Center, INC

NPI #1417135419 in Pittsfield, Illinois

Provider Information

NPI Number: 1417135419
Entity Type: Organization
Organization Name: International Eyecare Center, INC
Primary Specialty: Optometrist
Enumeration Date: Feb 1, 2008
Last Updated: Jan 22, 2021

Practice Location

Address: 201 N MADISON ST
City: Pittsfield
State: Illinois
ZIP Code: 62363-1447
Phone: (217) 285-4800

Authorized Official

Name: CATHY LEE SHORT
Title: CREDENTIALING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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