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Organization
HEYDE EYE CENTER S.C
Active
Organization
HEYDE EYE CENTER S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND R HEYDE MD (OWNER)
(309) 674-2244
Entity
Organization
Contact information
Practice address
400 NE SAINT MARK CT, PEORIA, IL 61603-3717
(309) 674-1234
(309) 674-6422
Mailing address
400 NE SAINT MARK CT, PEORIA, IL 61603-3717
(309) 674-1234
(309) 674-6422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
036075507
IL
Other
Enumeration date
08/24/2005
Last updated
06/17/2010
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