Mid-State Eye Partners INC

NPI #1487005484 in Shelbyville, Illinois

Provider Information

NPI Number: 1487005484
Entity Type: Organization
Organization Name: Mid-State Eye Partners INC
Primary Specialty: Optometrist
Enumeration Date: Jun 30, 2016
Last Updated: Mar 3, 2017

Practice Location

Address: 102 N HEINLEIN DR
City: Shelbyville
State: Illinois
ZIP Code: 62565-9050
Phone: (217) 774-4422

Authorized Official

Name: DR. BRADLEY STEWART GRANT, O.D.
Title: OPTOMETRIST
Phone: (217) 774-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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