Organization
CHITTICK FAMILY VISION CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON G. RHOADS O.D. (OPTOMETRIST)
(217) 465-6461
Entity
Organization
Contact information
Practice address
112 S MAIN ST # 95, PARIS, IL 61944-1731
(217) 465-6461
(217) 465-6461
Mailing address
112 S MAIN ST # 95, PARIS, IL 61944-1731
(217) 465-6461
(217) 465-6461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282350
MEDICARE GROUP NUMBER
IL
Enumeration date
10/12/2007
Last updated
02/08/2008
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