Individual
MARTIN VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5201 W WAR MEMORIAL DR STE 565, PEORIA, IL 61615-9280
(309) 282-1002
Mailing address
13325 RIVER RD, PLANO, IL 60545-9709
(815) 600-2105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011733
IL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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