Organization
EYECARE MANAGEMENT LLC
Active
Other names
Illinois Eye Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CUMMINS (INSURANCE ADMINISTRATOR)
(618) 310-2255
Entity
Organization
Contact information
Practice address
12 PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5672
(618) 288-7266
(618) 288-4583
Mailing address
3990 N ILLINOIS ST, SWANSEA, IL 62226-1919
(618) 277-1130
(618) 277-4917
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
09/15/2011
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