Organization
EYE 2 EYE VISION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CUTLER O.D. (OPTOMETRIST)
(815) 729-9143
Entity
Organization
Contact information
Practice address
2537 PLAINFIELD RD, JOLIET, IL 60435-1463
(815) 577-2020
(815) 577-0998
Mailing address
2537 PLAINFIELD RD, JOLIET, IL 60435-1463
(815) 577-2020
(815) 577-0998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009118
IL
152W00000X
Optometrist
046009198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009919581
BLUE CROSS BLUE SHIELD
IL
05
—
046009118
—
IL
05
—
046009198
—
IL
01
—
09932266
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/12/2012
Last updated
12/17/2012
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