Individual
BRIAN S SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3400 QUINCY MALL, QUINCY, IL 62301-4640
(217) 228-4204
(217) 228-4218
Mailing address
3400 BROADWAY, QUINCY MALL, QUINCY, IL 62301-3716
(217) 228-9571
(217) 228-9571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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