Lebanon Optometric Center, LLC

NPI #1447373378 in Lebanon, Illinois

Provider Information

NPI Number: 1447373378
Entity Type: Organization
Organization Name: Lebanon Optometric Center, LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 7, 2007
Last Updated: Mar 6, 2020

Practice Location

Address: 201 W SAINT LOUIS ST
City: Lebanon
State: Illinois
ZIP Code: 62254-1515
Phone: (618) 537-6356

Authorized Official

Name: DR. CHARISSA THORPE, O.D.
Title: OWNER
Phone: (618) 537-6356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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