Individual
WILLIAM FIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
321 S PARK AVE, HERRIN, IL 62948-3603
(618) 942-2900
(618) 942-4199
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007446
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007446
—
IL
01
—
051353
HEALTH ALLIANCE
—
01
—
0814870001
MEDICARE NSC NUMBER
IL
01
—
0814870007
MEDICARE NSC NUMBER
IL
01
—
0814870019
MEDICARE NSC NUMBER
IL
01
—
237369
HARMONY HEALTH PLAN
—
01
—
410039812
MEDICARE RAILROAD
IL
01
—
IL7446
EYEMED
—
Enumeration date
09/30/2005
Last updated
10/01/2008
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