Organization
SITE VISION CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND JOHN GIANFRIDDO O.D. (VICE PRESIDENT)
(217) 228-2060
Entity
Organization
Contact information
Practice address
3236 BROADWAY ST, QUINCY, IL 62301-3712
(217) 228-2060
(217) 228-2066
Mailing address
3236 BROADWAY ST, QUINCY, IL 62301-3712
(217) 228-2060
(217) 228-2066
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0326000001
IL
Other
Enumeration date
06/02/2006
Last updated
07/10/2013
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