Fountains Eyecare Center, PC
NPI #1912137266 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1912137266
- Entity Type
- Organization
- Organization Name
- Fountains Eyecare Center, PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Dec 3, 2010
Practice Location
- Address
- 314 FOUNTAINS PKWY
- Address 2
- SUITE D
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2165
- Phone
- (618) 622-3013
Authorized Official
- Name
- DR. WAYNE ERIC JONES, OD
- Title
- PRESIDENT
- Phone
- (618) 622-3013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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