Organization
OPTOMETRIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEE SIMMONS OD (OWNER)
(815) 273-2422
Entity
Organization
Contact information
Practice address
413 MAIN ST, SAVANNA, IL 61074-1964
(815) 273-2422
(815) 273-5034
Mailing address
413 MAIN ST, SAVANNA, IL 61074-1535
(815) 273-2422
(815) 273-5034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007403
IL
Other
Enumeration date
03/03/2008
Last updated
11/10/2009
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