Organization
PONTIAC FAMILY EYE CARE LLC
Active
Parent organization
HORIZON VISION GROUP SOLE MBR
Organization subpart
Yes
Provider details
NPI number
Legal business name
HORIZON VISION GROUP SOLE MBR
Authorized official
DR. BRYAN M STOLLER OD (OWNER)
(815) 842-4304
Entity
Organization
Contact information
Practice address
320 N LADD ST, PONTIAC, IL 61764-1612
(815) 842-4304
(815) 844-5495
Mailing address
320 N LADD ST, PONTIAC, IL 61764-1612
(815) 843-4304
(815) 844-5495
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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