Organization
SPECS CARTHAGE
Active
Other names
Superior Performance Eye Care Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEONARD HAYDEN OD (OWNER)
(217) 357-9750
Entity
Organization
Contact information
Practice address
514 WABASH AVE, CARTHAGE, IL 62321-1360
(217) 357-9750
(217) 214-9437
Mailing address
195 S 36TH ST, QUINCY, IL 62301-5801
(217) 224-7732
(217) 214-9437
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009104
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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