Prairie Eye Center, Ltd

NPI #1578766515 in Jacksonville, Illinois

Provider Information

NPI Number
1578766515
Entity Type
Organization
Organization Name
Prairie Eye Center, Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
PRAIRIE EYE CENTER, LTD
Primary Specialty
Optometrist
Enumeration Date
Jun 7, 2007
Last Updated
Feb 17, 2021

Practice Location

Address
2000 W MORTON AVE
ZIP Code
62650-2623
Phone
(217) 245-6814

Authorized Official

Name
JASON LANG
Title
BILLING ADMINISTRATOR
Phone
(217) 698-3030

Specialties & Taxonomy Codes

Specialty
Ophthalmology
Ophthalmology - Retina SpecialistRetina Specialist
Optometrist

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