Organization
OPTOMETRIC EYECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK E DESHON O.D. (PRESIDENT)
(618) 395-2676
Entity
Organization
Contact information
Practice address
303 E MAIN ST, OLNEY, IL 62450
(618) 395-2676
(618) 395-2720
Mailing address
303 E MAIN ST, OLNEY, IL 62450-2117
(618) 395-2676
(618) 395-2720
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008793
IL
261QH0100X
Health Service Clinic/Center
3840-6969
IL
Other
Enumeration date
04/24/2008
Last updated
08/31/2018
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