Organization
MID-STATE EYE PARTNERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY STEWART GRANT OD (OWNER)
(217) 935-9451
Entity
Organization
Contact information
Practice address
125 W MAIN ST, CLINTON, IL 61727-1611
(217) 935-9451
Mailing address
102 N HEINLEIN DR, SHELBYVILLE, IL 62565-9050
(217) 774-4422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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