Organization
PRAIRIE EYE CENTER, LTD
Active
Parent organization
PRAIRIE EYE CENTER, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIE EYE CENTER, LTD
Authorized official
JASON LANG (BILLING ADMINISTRATOR)
(217) 698-3030
Entity
Organization
Contact information
Practice address
960 E MOUND RD, DECATUR, IL 62526-2099
(217) 877-5050
(217) 877-9711
Mailing address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
(217) 698-3068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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