Organization
TAYLORVILLE VISION CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN W MOORE O.D. (PRESIDENT)
(217) 287-2020
Entity
Organization
Contact information
Practice address
108 S MAIN ST, TAYLORVILLE, IL 62568-2230
(217) 287-2020
(217) 824-2228
Mailing address
108 S MAIN ST, TAYLORVILLE, IL 62568-2230
(217) 287-2020
(217) 824-2228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
060009009
IL
Other
Enumeration date
12/19/2007
Last updated
08/31/2009
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