Organization
THE EYEGLASS SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P COTAL OPTICIAN (OWNER)
(815) 795-3007
Entity
Organization
Contact information
Practice address
502 MAIN ST, MARSEILLES, IL 61341-1419
(815) 795-3007
(815) 795-3008
Mailing address
502 MAIN ST, MARSEILLES, IL 61341-1419
(815) 795-3007
(815) 795-3008
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/19/2008
Last updated
08/18/2008
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