Organization
TRI-STATE OPTOMETRIC ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DONALD SLOAN OD (OPTOMETRIST)
(563) 872-5975
Entity
Organization
Contact information
Practice address
775 SINSINAWA AVE, EAST DUBUQUE, IL 61025-1409
(563) 872-5975
(563) 872-3248
Mailing address
775 SINSINAWA AVE, EAST DUBUQUE, IL 61025-1409
(563) 872-5975
(563) 872-3248
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0046007595
IL
Other
Enumeration date
05/24/2007
Last updated
10/17/2007
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