Organization
MIDWEST VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY K KERKSICK OD (OPTOMETRIST)
(618) 281-2400
Entity
Organization
Contact information
Practice address
915 N MAIN ST, SUITE 1, COLUMBIA, IL 62236-1136
(618) 281-2400
Mailing address
915 N MAIN STREET, SUITE 1, COLUMBIA, IL 62239
(618) 281-2400
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
IL
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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