Organization
BOURN AND ASSOCIATES, P.C.
Active
Other names
Bourn Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA K BOURN OD (PRESIDENT)
(217) 303-8600
Entity
Organization
Contact information
Practice address
4000 WESTGATE DR STE B, SPRINGFIELD, IL 62711-7066
(217) 303-8600
(217) 303-5950
Mailing address
64 NAVAJO DR, SPRINGFIELD, IL 62711-6084
(217) 741-2315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851340152
—
IL
Enumeration date
05/22/2009
Last updated
09/13/2018
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