Organization
ADVANCED FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A. TUEL O.D. (PRESIDENT)
(815) 254-2546
Entity
Organization
Contact information
Practice address
15722 S ROUTE 59, BUILDING 140 SUITE B, PLAINFIELD, IL 60544-2795
(815) 254-2546
(815) 254-2566
Mailing address
15722 S ROUTE 59, BUILDING 140 SUITE B, PLAINFIELD, IL 60544-2795
(815) 254-2546
(815) 254-2566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932276
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
10/10/2006
Last updated
06/17/2008
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