Organization
ADAMS FAMILY EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE DAWN ADAMS O.D. (OWNER/OPTOMETRIST)
(618) 943-6400
Entity
Organization
Contact information
Practice address
1703 STATE ST, LAWRENCEVILLE, IL 62439-1913
(618) 943-6400
(618) 943-6404
Mailing address
1703 STATE ST, LAWRENCEVILLE, IL 62439-1913
(618) 943-6400
(618) 943-6404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009816
—
IL
Enumeration date
05/29/2009
Last updated
05/26/2010
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