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Organization
SIMPSON EYE ASSOCIATES LTD
Active
Organization
SIMPSON EYE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH VICTOR MELCHIONNA D.O. (CEO)
(847) 426-0227
Entity
Organization
Contact information
Practice address
730 E TERRA COTTA AVE, SUITE 2B, CRYSTAL LAKE, IL 60014-3615
(815) 455-0212
(815) 455-4903
Mailing address
650 SPRINGHILL RING RD, SUITE #2020, WEST DUNDEE, IL 60118-1296
(847) 426-0227
(847) 426-0299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
05/27/2006
Last updated
03/05/2009
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