# MIDWEST EYE ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1427250422
- **Authorized official:** DR. LANCE P STEAHLY MD (OWNER)
- **Authorized official phone:** (217) 529-3937

## Contact information

- **Practice address:** 5220 S 6TH STREET RD, SUITE 2300, SPRINGFIELD, IL 62703-5735
- **Practice address phone:** (217) 529-3469
- **Practice address fax:** (217) 529-0968
- **Mailing address:** PO BOX 9830, SPRINGFIELD, IL 62791-9830
- **Mailing address phone:** (217) 529-3937
- **Mailing address fax:** (217) 529-0968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 02/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08432068 | BCBS GROUP NUMBER | IL |