William B. Witte, Ltd

NPI #1548458623 in Bloomington, Illinois

Provider Information

NPI Number: 1548458623
Entity Type: Organization
Organization Name: William B. Witte, Ltd
Primary Specialty: Optometrist
Enumeration Date: Oct 14, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 2409 E WASHINGTON ST
City: Bloomington
State: Illinois
ZIP Code: 61704-4483
Phone: (309) 663-8581

Authorized Official

Name: DR. MARY TERESA RIEGER, O.D.
Title: OPTOMETRIST
Phone: (309) 663-8581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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