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Organization

KOKE MILL OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DORSEY HENDERSON (MANAGER)
(217) 698-9477
Entity
Organization

Contact information

Practice address
2709 S KOKE MILL RD, SPRINGFIELD, IL 62711
(217) 698-9477
(217) 698-9474
Mailing address
2709 S KOKE MILL RD, SPRINGFIELD, IL 62711
(217) 698-9477
(217) 698-9474

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/29/2014
Last updated
10/22/2019
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