Organization
PRIMARY EYECARE PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD D LOCONTE OD (PRESIDENT)
(815) 469-7240
Entity
Organization
Contact information
Practice address
10379 W LINCOLN HWY, FRANKFORT, IL 60423-1280
(815) 469-7240
(815) 469-7250
Mailing address
10379 W LINCOLN HWY, FRANKFORT, IL 60423-1280
(815) 469-7240
(815) 469-7250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212298
MEDICARE PTAN
IL
Enumeration date
12/21/2006
Last updated
12/05/2012
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