Organization
LUCEM LLC
Active
Other names
Wight Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY A MEIER (OFFICE MANAGER)
(815) 708-7083
Entity
Organization
Contact information
Practice address
6256 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
(815) 708-7083
(815) 904-6294
Mailing address
6256 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
(815) 708-7083
(815) 904-6294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007443
IL
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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