Prairie Eye Center Ltd

NPI #1730564261 in Springfield, Illinois

Provider Information

NPI Number: 1730564261
Entity Type: Organization
Organization Name: Prairie Eye Center Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: PRAIRIE EYE CENTER, LTD
Primary Specialty: Ophthalmology
Enumeration Date: Jul 27, 2015
Last Updated: Feb 17, 2021

Practice Location

Address: 2020 W ILES AVE
City: Springfield
State: Illinois
ZIP Code: 62704-4174
Phone: (217) 698-3030

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X
Ophthalmology	207W00000X	Primary

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