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
- City
- Jacksonville
- State
- Illinois
- 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 Specialist — Retina Specialist |
| Optometrist |
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