# SPRINGFIELD EYE CONSULTANTS PC

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

## Provider details

- **NPI number:** 1205841897
- **Authorized official:** DR. ROBERT ALLEN LOWENTHAL M.D. (VICE PRESIDENT)
- **Authorized official phone:** (217) 544-2020

## Contact information

- **Practice address:** 300 N BROAD ST, CARLINVILLE, IL 62626-1304
- **Practice address phone:** (217) 544-2020
- **Practice address fax:** (217) 544-1519
- **Mailing address:** 301 N. 8TH ST., SUITE 6B-201, SPRINGFIELD, IL 62701-1064
- **Mailing address phone:** (217) 544-2020
- **Mailing address fax:** (217) 544-1519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 07/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08432151 | BC/BS | IL |
| 01 | — | 611236600 | ACS | IL |
| 01 | — | DE7074 | RR MEDICARE GROUP \# | IL |