Organization
BLOOMINGTON EYE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARA DAVID APRAHAMIAN MD (MEDICAL DIRECTOR)
(309) 829-5311
Entity
Organization
Contact information
Practice address
1008 NORTH CENTER ST, BLOOMINGTON, IL 61701-2778
(309) 827-2020
(309) 828-4586
Mailing address
1008 NORTH CENTER ST, BLOOMINGTON, IL 61701-2778
(309) 827-2020
(309) 828-4586
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039339
HEALTH ALLIANCE
IL
01
—
1547
BLUE CROSS BLUE SHIELD
IL
01
—
490003926
PALMETTO RAILROAD MEDICAR
—
Enumeration date
04/20/2006
Last updated
04/30/2025
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