International Eyecare Center INC

NPI #1831605096 in Mt Zion, Illinois

Provider Information

NPI Number: 1831605096
Entity Type: Organization
Organization Name: International Eyecare Center INC
Primary Specialty: Optometrist
Enumeration Date: Dec 22, 2017
Last Updated: Jan 22, 2021

Practice Location

Address: 1505 W MAIN ST
City: Mt Zion
State: Illinois
ZIP Code: 62549
Phone: (217) 864-3221

Authorized Official

Name: CATHY LEE SHORT
Title: CREDENTIALING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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