Individual
DR. JOHN DAVID POWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3411 OFFICE PARK DR, MARION, IL 62959-6478
(618) 997-5600
(618) 993-2574
Mailing address
PO BOX 1130, MARION, IL 62959-7630
(618) 997-5600
(618) 993-2574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010084008
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
10/02/2006
Last updated
05/02/2013
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