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Organization
PRAIRIE EYE CENTER, LTD
Active
Organization
PRAIRIE EYE CENTER, LTD
Active
Other names
Prairie Eye & Lasik Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA WAI-SEUNG YEH, MD MD (CMO)
(217) 698-3030
Entity
Organization
Contact information
Practice address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
(217) 698-4728
Mailing address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
(217) 698-4728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
042-000760
IL
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/02/2006
Last updated
02/06/2025
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