Organization
VISION CENTER OF LOVES PARK, INC.
Active
Other names
Newcomb Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S. NEWCOMB O.D. (OWNER)
(815) 623-6060
Entity
Organization
Contact information
Practice address
11710 MAIN ST, SUITE # 2, ROSCOE, IL 61073-9566
(815) 623-6060
Mailing address
11710 MAIN ST, SUITE #2, ROSCOE, IL 61073-9566
(815) 623-6060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
346002079
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10184028
BCBS
IL
01
—
31795
DAVIS VISION INS.
IL
Enumeration date
08/17/2006
Last updated
01/20/2009
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