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Organization

RIEGER EYECARE LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY TERESA RIEGER O.D. (OPTOMETRIST)
(309) 454-1010
Entity
Organization

Contact information

Practice address
407 KAYS DR STE A, NORMAL, IL 61761-1958
(309) 454-1010
(309) 454-1077
Mailing address
407 KAYS DR STE A, NORMAL, IL 61761-1958
(309) 454-1010
(309) 454-1077

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008997
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046008997
IL
01
5732151
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/14/2007
Last updated
09/11/2008
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