Organization
INTERNATIONAL EYECARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LEE SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
201 N MADISON ST, PITTSFIELD, IL 62363-1447
(217) 285-4800
(217) 285-4850
Mailing address
201 N MADISON ST, PITTSFIELD, IL 62363-1447
(217) 285-4800
(217) 285-4850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
046008656
IL
Other
Enumeration date
02/01/2008
Last updated
01/22/2021
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