Organization
WYMAN SICHER EYE ASSOCIATES SC
Active
Other names
Illinois Eye Center SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M WYMAN M.D. (PRESIDENT)
(309) 243-2400
Entity
Organization
Contact information
Practice address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-2400
(309) 243-7918
Mailing address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-2400
(309) 243-7918
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07220057
BLUE CROSS
—
Enumeration date
02/21/2007
Last updated
03/17/2014
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