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Organization

SOUTHERN ILLINOIS EYE CARE PLLC

Active
Parent organization
SOUTHERN ILLINOIS EYECARE, PC
Other names
Sparta Eyecare
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN ILLINOIS EYECARE, PC
Authorized official
LAWRENCE GORDON SOELLNER OD (MANAGER)
(618) 826-4521
Entity
Organization

Contact information

Practice address
520 E BROADWAY ST, SPARTA, IL 62286-1889
(618) 443-5252
Mailing address
520 E BROADWAY ST, SPARTA, IL 62286-1889
(618) 443-5252

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
047931268
IL

Other

Enumeration date
01/24/2007
Last updated
10/14/2025
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