Central Illinois Vision Associates Ltd

NPI #1649418385 in Charleston, Illinois

Provider Information

NPI Number: 1649418385
Entity Type: Organization
Organization Name: Central Illinois Vision Associates Ltd
Primary Specialty: Optometrist
Enumeration Date: Feb 3, 2009
Last Updated: Jan 9, 2019

Practice Location

Address: 620 6TH ST
City: Charleston
State: Illinois
ZIP Code: 61920-2017
Phone: (217) 348-0800

Authorized Official

Name: MR. SCOTT CLARKE
Title: OFFICER
Phone: (217) 348-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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