Illinois Express Vision Center-Mattoon Inc.

NPI #1760508931 in Mattoon, Illinois

Provider Information

NPI Number
1760508931
Entity Type
Organization
Organization Name
Illinois Express Vision Center-Mattoon Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 21, 2007
Last Updated
Feb 4, 2013

Practice Location

Address
420 BROADWAY AVE E
ZIP Code
61938-4604
Phone
(217) 235-1100

Authorized Official

Name
DR. STEVEN H LANE, OD
Title
OPTOMETRIST
Phone
(217) 235-1100

Specialties & Taxonomy Codes

Specialty
Optometrist
Eyewear Supplier

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