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Organization

PAUL STEINER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL STEINER O.D. (OWNER)
(618) 664-0075
Entity
Organization

Contact information

Practice address
106 S 2ND ST, GREENVILLE, IL 62246-1723
(618) 664-0075
(618) 664-0176
Mailing address
106 S 2ND ST, GREENVILLE, IL 62246-1723

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007156
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046007156
IL
Enumeration date
03/06/2009
Last updated
04/21/2009
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  • EDI platform