Individual
DR. CHARLES MICHAEL MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2475 N MONROE ST, DECATUR, IL 62526-3941
(217) 875-5900
(217) 875-5600
Mailing address
2475 N MONROE ST, DECATUR, IL 62526-3941
(217) 875-5900
(217) 875-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006555
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05832035
BCBS
—
01
—
P00097404
RAILROAD MEDICARE
—
Enumeration date
10/04/2005
Last updated
07/29/2008
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