Organization
SUSAN M PENNER
Active
Parent organization
SUSAN M PENNER
Other names
EYECARE DIMENSIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSAN M PENNER
Authorized official
DR. SUSAN M PENNER O.D. (OWNER)
(815) 234-2020
Entity
Organization
Contact information
Practice address
134 E BLACKHAWK DR, BYRON, IL 61010-8610
(815) 234-2020
(815) 234-7070
Mailing address
134 E BLACKHAWK DR, BYRON, IL 61010-8610
(815) 234-2020
(815) 234-7070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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