Organization
PATRICIA H. SIMPSON, O.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA HELEN SIMPSON O.D. (OPTOMETRIST/PRESIDENT OF CORPORATIO)
(815) 838-8069
Entity
Organization
Contact information
Practice address
123 E 9TH ST, SUITE 2, LOCKPORT, IL 60441-3690
(815) 838-8069
(815) 838-8088
Mailing address
123 E 9TH ST, SUITE 2, LOCKPORT, IL 60441-3690
(815) 838-8069
(815) 838-8088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932280
BC/BS OF IL
IL
Enumeration date
08/05/2007
Last updated
11/30/2007
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