Organization
JONES OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK DUANE BURGWALD O.D. (PRESIDENT OWNER)
(217) 359-2390
Entity
Organization
Contact information
Practice address
1711 S NEIL ST, CHAMPAIGN, IL 61820-7298
(217) 359-2390
(217) 359-3180
Mailing address
1711 S NEIL ST, CHAMPAIGN, IL 61820-7298
(217) 359-2390
(217) 359-3180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689644684
PERSONAL NPI
IL
Enumeration date
03/02/2007
Last updated
03/07/2023
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