Organization
CENTRAL ILLINOIS EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NORELL O.D. (OPTOMETRIST/OWNER)
(309) 454-1010
Entity
Organization
Contact information
Practice address
407 KAYS DR, NORMAL, IL 61761-1958
(309) 454-1010
(309) 454-1077
Mailing address
407 KAYS DR, NORMAL, IL 61761-1958
(309) 454-1010
(309) 454-1077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009645
IL
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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