Organization
FAIRBURY VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE GERBER (BUSINESS MANAGER)
(815) 692-2415
Entity
Organization
Contact information
Practice address
2 ASPEN CT, FAIRBURY, IL 61739-1487
(815) 692-2415
(815) 692-2675
Mailing address
2 ASPEN CT, FAIRBURY, IL 61739-1487
(815) 692-2415
(815) 692-2675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
07/23/2020
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