Organization
SUPERIOR PERFORMANCE EYE CARE SPECIALST
Active
Other names
Specs Carthage
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEONARD HAYDEN OD (OWNER)
(217) 357-9750
Entity
Organization
Contact information
Practice address
514 WABASH AVE, CARTHAGE, IL 62321-1360
(217) 356-9750
(217) 357-9710
Mailing address
514 WABASH AVE, CARTHAGE, IL 62321-1360
(217) 356-9750
(217) 357-9710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL046009104
IL
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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