# MATTOON EYE CENTER S C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922297472
- **Authorized official:** DR. RONALD DWIGHT MILLER MD (PRESIDENT)
- **Authorized official phone:** (217) 234-3937

## Contact information

- **Practice address:** 220 RICHMOND AVE E, MATTOON, IL 61938-4652
- **Practice address phone:** (217) 234-3937
- **Practice address fax:** (217) 234-3930
- **Mailing address:** 220 RICHMOND AVE E, MATTOON, IL 61938-4652
- **Mailing address phone:** (217) 234-3937
- **Mailing address fax:** (217) 234-3930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036060611 | IL | Yes |
| 332BC3200X | Customized Equipment (DME) | 036060611 | IL | — |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 03/26/2012