Organization
ILLIANA EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL S DAVIDS O.D. (OPTOMETRIST)
(219) 669-1012
Entity
Organization
Contact information
Practice address
13115 WICKER AVENUE, SUITE E, CEDAR LAKE, IN 46303
(219) 374-7800
Mailing address
13115 WICKER AVENUE, SUITE E, CEDAR LAKE, IN 46303
(219) 374-7800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009654
IN
Other
Enumeration date
08/16/2006
Last updated
08/02/2016
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