Organization
NORON, INC
Active
Other names
Optik Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHONDA V DAMERON O.D. (OWNER)
(309) 674-6633
Entity
Organization
Contact information
Practice address
456 FULTON ST, SUITE 140, PEORIA, IL 61602-1274
(309) 674-6633
(309) 674-6694
Mailing address
456 FULTON ST, SUITE 140, PEORIA, IL 61602-1274
(309) 674-6633
(309) 674-6694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007514
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007514
—
IL
Enumeration date
12/08/2008
Last updated
05/17/2010
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