Teresa Beth Eide, O.D.

NPI #1487605762 in Broadview, Illinois

Provider Information

NPI Number: 1487605762
Entity Type: Individual
Name: Teresa Beth Eide, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 12, 2006
Last Updated: Dec 11, 2007

Practice Location

Address: 122 BROADVIEW VILLAGE SQ
City: Broadview
State: Illinois
ZIP Code: 60155-4874
Phone: (708) 343-2099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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