Organization
STATE STREET OPTICAL, INC.
Active
Other names
LAMMERS OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W PAYNTER (PRESIDENT)
(217) 222-0281
Entity
Organization
Contact information
Practice address
1118 BROADWAY ST, QUINCY, IL 62301-2810
(217) 222-0281
(217) 222-0281
Mailing address
1118 BROADWAY ST, QUINCY, IL 62301-2810
(217) 222-0281
(217) 222-0281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2251-3787
IL
Other
Enumeration date
07/27/2006
Last updated
09/24/2008
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