Organization
DAVID R CULVER OD LTD
Active
Other names
Family Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R CULVER OD (OWNER)
(309) 833-4391
Entity
Organization
Contact information
Practice address
222 S RANDOLPH ST, MACOMB, IL 61455-2210
(309) 833-4391
(309) 833-1691
Mailing address
222 S RANDOLPH ST, MACOMB, IL 61455-2210
(309) 833-4391
(309) 833-1691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46006825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410021980
RAILROAD MEDICARE
IL
01
—
5584003
BCBS OF ILLINOIS
IL
01
—
IL6825
EYEMED
IL
Enumeration date
03/29/2007
Last updated
04/29/2008
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