Central Illinois Family Eyecare LLC
NPI #1881135853 in Bloomington, Illinois
Provider Information
- NPI Number
- 1881135853
- Entity Type
- Organization
- Organization Name
- Central Illinois Family Eyecare LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL ILLINOIS FAMILY EYECARE LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 10, 2017
- Last Updated
- Feb 28, 2022
Practice Location
- Address
- 1015 S MERCER AVE
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7107
- Phone
- (309) 213-9200
Authorized Official
- Name
- DR. DENNIS M BRTVA, OD
- Title
- OWNER
- Phone
- (309) 213-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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