Optometric Eyecare, INC
NPI #1952541179 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1952541179
- Entity Type
- Organization
- Organization Name
- Optometric Eyecare, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OPTOMETRIC EYECARE, INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Feb 27, 2009
- Last Updated
- Mar 9, 2010
Practice Location
- Address
- 715 CHESTNUT ST
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863-1454
- Phone
- (618) 263-3362
Authorized Official
- Name
- DR. CLARK E DESHON, O.D.
- Title
- PRESIDENT
- Phone
- (618) 263-3362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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