Organization
OPTOMETRIC EYECARE, INC
Active
Parent organization
OPTOMETRIC EYECARE, INC
Other names
Olney EyeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTOMETRIC EYECARE, INC
Authorized official
DR. CLARK EDWARD DESHON OD, FAAO (PRESIDENT)
(618) 395-2676
Entity
Organization
Contact information
Practice address
303 E MAIN ST, OLNEY, IL 62450
(618) 395-2676
Mailing address
303 E MAIN ST, OLNEY, IL 62450-2117
(618) 395-2676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008793
IL
Other
Enumeration date
12/18/2008
Last updated
08/31/2018
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