# THE EYE CENTER OF THE QUAD CITIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073579629
- **Authorized official:** DR. RAZ DILIP PENMATCHA M.D. (PRESIDENT OPHTHALMOLOGIST)
- **Authorized official phone:** (309) 797-0877

## Contact information

- **Practice address:** 4540 3RD ST, MOLINE, IL 61265-6104
- **Practice address phone:** (309) 797-0877
- **Practice address fax:** (309) 797-9299
- **Mailing address:** 4540 3RD ST, MOLINE, IL 61265-6104
- **Mailing address phone:** (309) 797-0877
- **Mailing address fax:** (309) 797-9299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036-104091 | IL | Yes |

## Other

- **Enumeration date:** 04/23/2006
- **Last updated:** 08/13/2008