Organization
INTERNATIONAL EYECARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LEE SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
105 W MAIN ST, MT STERLING, IL 62353-1223
(217) 773-3055
(217) 773-3522
Mailing address
105 W MAIN ST, MT STERLING, IL 62353-1223
(217) 773-3055
(217) 773-3522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/31/2011
Last updated
01/22/2021
About Stedi
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