Illinois Express Vis Ctr Dnvll INC

NPI #1487724910 in Danville, Illinois

Provider Information

NPI Number: 1487724910
Entity Type: Organization
Organization Name: Illinois Express Vis Ctr Dnvll INC
Primary Specialty: Optometrist
Enumeration Date: Nov 9, 2006
Last Updated: Mar 16, 2012

Practice Location

Address: 2807 N VERMILION ST
Address 2: STE 4
City: Danville
State: Illinois
ZIP Code: 61832-1444
Phone: (217) 446-5554

Authorized Official

Name: MR. MARK PARIS
Title: PRESIDENT
Phone: (217) 446-5554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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