Organization
VEP IL OPTOMETRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BIRKY (PRESIDENT)
(309) 663-2700
Entity
Organization
Contact information
Practice address
101 N VETERANS PKWY, BLOOMINGTON, IL 61704-3596
(309) 663-2700
(309) 663-2110
Mailing address
PO BOX 800148, KANSAS CITY, MO 64180-9624
(309) 808-3112
(312) 327-7621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
07/29/2024
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