Organization
EYECARE OF CARLINVILLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE M GOODMAN-THOMAS OD (OPTOMETRIST)
(217) 854-7611
Entity
Organization
Contact information
Practice address
300 N BROAD ST, CARLINVILLE, IL 62626-1304
(217) 854-7611
(217) 854-8120
Mailing address
300 N BROAD ST, CARLINVILLE, IL 62626-1304
(217) 854-7611
(217) 854-8120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010516
IL
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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