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Organization

JFJ EYECARE LTD

Active
Other names
Quantum Vision Centers
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA L CUMMINS (DIRECTOR OF BILLING)
(618) 722-5740
Entity
Organization

Contact information

Practice address
314 FOUNTAINS PKWY, SUITE D, FAIRVIEW HEIGHTS, IL 62208-2165
(636) 200-4393
(618) 937-8403
Mailing address
111 W LINCOLN ST, BELLEVILLE, IL 62220-2019
(618) 234-1774
(618) 937-8403

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295778587
NPI
IL
Enumeration date
03/04/2014
Last updated
06/04/2019
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