Organization
GREENVILLE EYEGLASS & CONTACTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LILE (OFFICE MANAGER)
(618) 664-9101
Entity
Organization
Contact information
Practice address
216 N THIRD ST, STE B, GREENVILLE, IL 62246-1004
(618) 664-9101
(618) 664-9657
Mailing address
216 N THIRD ST, STE B, GREENVILLE, IL 62246-1004
(618) 664-9101
(618) 664-9657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104926674
NPI
IL
05
—
1235122466
—
IL
05
—
1265504443
—
IL
Enumeration date
09/25/2006
Last updated
11/26/2008
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