Organization
MERVI H LEYENDECKERS, O.D., P.C.
Active
Other names
Broadway Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERVI H LEYENDECKERS O.D. (OPTOMETRIST)
(217) 222-6888
Entity
Organization
Contact information
Practice address
926 BROADWAY ST, QUINCY, IL 62301-2730
(217) 222-6888
(217) 222-6975
Mailing address
926 BROADWAY STREET, QUINCY, IL 62301-2730
(217) 222-6888
(217) 222-6975
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008462
IL
Other
Enumeration date
11/11/2010
Last updated
12/12/2011
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