# EFFINGHAM OPHTHALMOLOGY ASSOCIATES, LTD.

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

## Provider details

- **NPI number:** 1598718454
- **Authorized official:** ERIC C ZELLER RN (ADMINISTRATOR)
- **Authorized official phone:** (217) 347-2933

## Contact information

- **Practice address:** 903 MEDICAL PARK DR, EFFINGHAM, IL 62401-2190
- **Practice address phone:** (217) 347-2933
- **Practice address fax:** (217) 347-2932
- **Mailing address:** 903 MEDICAL PARK DR, EFFINGHAM, IL 62401-2190
- **Mailing address phone:** (217) 347-2933
- **Mailing address fax:** (217) 347-2932

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 03/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2500068 | BLUE CROSS | IL |
| 01 | — | CC5542 | RAILROAD MEDICARE | — |