Organization
LEBANON OPTOMETRIC CENTER, LLC
Active
Other names
Lebanon Optometric Center, Robert J Klinsky & Charissa L Thorpe, PTR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARISSA THORPE O.D. (OWNER)
(618) 537-6356
Entity
Organization
Contact information
Practice address
201 W SAINT LOUIS ST, LEBANON, IL 62254-1515
(618) 537-6356
(618) 537-6358
Mailing address
201 W SAINT LOUIS ST, LEBANON, IL 62254-1515
(618) 537-6356
(618) 537-6358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007516
IL
Other
Enumeration date
04/07/2007
Last updated
03/06/2020
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