Organization
EFFINGHAM OPHTHALMOLOGY ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC C ZELLER RN (ADMINISTRATOR)
(217) 347-2933
Entity
Organization
Contact information
Practice address
903 MEDICAL PARK DR, EFFINGHAM, IL 62401-2190
(217) 347-2933
(217) 347-2932
Mailing address
903 MEDICAL PARK DR, EFFINGHAM, IL 62401-2190
(217) 347-2933
(217) 347-2932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2500068
BLUE CROSS
IL
01
—
CC5542
RAILROAD MEDICARE
—
Enumeration date
05/19/2006
Last updated
03/17/2015
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