# C E MYERS MD

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

## Provider details

- **NPI number:** 1376711283
- **Authorized official:** DR. CLIFFORD EARL MYERS M.D. (OWNER)
- **Authorized official phone:** (309) 693-2710

## Contact information

- **Practice address:** 5401 N KNOXVILLE AVE, SUITE 106, PEORIA, IL 61614-5098
- **Practice address phone:** (309) 693-2710
- **Practice address fax:** (309) 693-9460
- **Mailing address:** 5401 N KNOXVILLE AVE, PEORIA, IL 61614-5098
- **Mailing address phone:** (309) 693-2710
- **Mailing address fax:** (309) 693-9460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 36060306 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 36060306 | IL | — |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 09/15/2008